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ADDENDUM : How to deal with anxiety ? [-]
"Worrying is carrying tomorrow's load with today's strength- carrying two days at once. It is moving into tomorrow ahead of time. Worrying doesn't empty tomorrow of its sorrow, it empties today of its strength." - Corrie ten Boom

"Man is not worried by real problems so much as by his imagined anxieties about real problems" - Epictetus

"Okay, so, flying," I started, taking a deep breath and focusing on the thing I loved most in the world. "Flying is … great. It feels great when you're doing it. It's fun. Pure freedom. There's nothing better." Dylan smiled, a slow, easy smile that seemed to light up his whole face. "So the first thing we're going to do," I told him, "is push you off the roof." - James Patterson, Fang

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"Every man has his secret sorrows which the world knows not; and often times we call a man cold when he is only sad."
― Henry Wadsworth Longfellow

‘Depression is an illness that
can happen to anyone’

Thesynergyonline Health Bureau 


Depression

"The so-called 'psychotically depressed' person who tries to kill herself doesn't do so out of quote 'hopelessness' or any abstract conviction that life's assets and debits do not square. And surely not because death seems suddenly appealing. The person in whom Its invisible agony reaches a certain unendurable level will kill herself the same way a trapped person will eventually jump from the window of a burning high-rise. Make no mistake about people who leap from burning windows. Their terror of falling from a great height is still just as great as it would be for you or me standing speculatively at the same window just checking out the view; i.e. the fear of falling remains a constant. The variable here is the other terror, the fire's flames: when the flames get close enough, falling to death becomes the slightly less terrible of two terrors. It's not desiring the fall; it's terror of the flames. And yet nobody down on the sidewalk, looking up and yelling 'Don't!' and 'Hang on!', can understand the jump. Not really. You'd have to have personally been trapped and felt flames to really understand a terror way beyond falling." - David Foster Wallace

Cooking  

 

 

Dr Karthikeyan Pshychiatriate Meenakshi Mission Hospital

Blame it on the stressors of modern life --- pressure at work, marital conflicts, interpersonal conflicts, social pressures, economic burden, competition for resources and rising aspirations --- the incidence of depression has risen like a scourge, and at least every one in three persons suffers an episode of depression at least once in their lifetime.


Clinical estimates are often less, as several patients stay hidden because a silent majority do not seek treatment due to multiple factors like lack of awareness, stigma about mental illness, lack of access or availability of mental health resources.


Depression is an illness that can happen to anyone from a school-going child to a college student, from a middle-aged housewife, working women or man in his/her forties to elderly men and women. Depression transcends socio economic boundaries, it can occur among the poor, rich, middleclass, employed or unemployed alike.


Depression is a disorder of the mind characterised by sad mood, loss of interest, decreased concentration, lack of sleep or excess sleep, loss of appetite or increased appetite, feelings of hopelessness, helplessness, decreased self-esteem and sometimes, the desire to be dead or suicidal instincts.

  • "Noble deeds and hot baths are the best cures for depression."

    "I didn't want my picture taken because I was going to cry. I didn't know why I was going to cry, but I knew that if anybody spoke to me or looked at me too closely the tears would fly out of my eyes and the sobs would fly out of my throat and I'd cry for a week. I could feel the tears brimming and sloshing in me like water in a glass that is unsteady and too full." - Sylvia Plath

  • "Some people are just not meant to be in this world. It's just too much for them."

    "I don't want to see anyone. I lie in the bedroom with the curtains drawn and nothingness washing over me like a sluggish wave. Whatever is happening to me is my own fault. I have done something wrong, something so huge I can't even see it, something that's drowning me. I am inadequate and stupid, without worth. I might as well be dead." - Margaret Atwood, CAT'S EYE.

  • "I'm fine. Well, I'm not fine - I'm here." "Is there something wrong with that?" "Absolutely."

    "Its so hard to talk when you want to kill yourself. That's above and beyond everything else, and it's not a mental complaint-it's a physical thing, like it's physically hard to open your mouth and make the words come out. They don't come out smooth and in conjunction with your brain the way normal people's words do; they come out in chunks as if from a crushed-ice dispenser; you stumble on them as they gather behind your lower lip. So you just keep quiet." - Ned Vizzini, It's Kind of a Funny Story

  • It's not all bad

    "It's not all bad. Heightened self-consciousness, apartness, an inability to join in, physical shame and self-loathing—they are not all bad. Those devils have been my angels. Without them I would never have disappeared into language, literature, the mind, laughter and all the mad intensities that made and unmade me." - Stephen Fry, Moab Is My Washpot

 

Depression worsens comorbid common medical illness like diabetes, ischaemic heart disease, cancer and adversely affects adherence to treatment regimen and significantly contributes to worse outcomes of all common severe medical illness.


Many self-medicate their symptoms of depression with alcohol, which further leads to physical morbidities, family conflicts and financial burden.

 

"If you know someone who's depressed, please resolve never to ask them why. Depression isn't a straightforward response to a bad situation; depression just is, like the weather. Try to understand the blackness, lethargy, hopelessness, and loneliness they're going through. Be there for them when they come through the other side. It's hard to be a friend to someone who's depressed, but it is one of the kindest, noblest, and best things you will ever do." - Stephen Fry

 

THE POSITIVE WAY FORWARD (Frequently asked questions)
Q. Is depression curable?
Yes, definitely with antidepressants.
Q. Is depression ‘easily’ curable?
Yes if detected early

 

Q. How long does it take to improve the condition of a depressed person?
Most often two weeks and utmost six weeks

 

All public and private health care agencies should make concerted and focussed effort to reach out to every individual of the society making him or her aware of the true biopsychosocial nature of depressive illness and dispelling the social stigma about it and providing knowledge and access to health care providers in both public and private sector who can cure it effectively and make him feel better.

 

"That's the thing about depression: A human being can survive almost anything, as long as she sees the end in sight. But depression is so insidious, and it compounds daily, that it's impossible to ever see the end."
― Elizabeth Wurtzel, Prozac Nation

 

"I'm officially disabled, but I'm truly enabled because of my lack of limbs. My unique challenges have opened up unique opportunities to reach so many in need." -Nick Vujicic


Private organisations and corporates should develop fund to support persons with disabilities: Ramdas Athawale

4% reservation in jobs be implemented in every department

Disability

"I will crawl upon my knees just to know the joy of suffering."

"Another myth that is firmly upheld is that disabled people are dependent and non-disabled people are independent. No one is actually independent. This is a myth perpetuated by disablism and driven by capitalism - we are all actually interdependent. Chances are, disabled or not, you don't grow all of your food. Chances are, you didn't build the car, bike, wheelchair, subway, shoes, or bus that transports you. Chances are you didn't construct your home. Chances are you didn't sew your clothing (or make the fabric and thread used to sew it). The difference between the needs that many disabled people have and the needs of people who are not labelled as disabled is that non-disabled people have had their dependencies normalized. The world has been built to accommodate certain needs and call the people who need those things independent, while other needs are considered exceptional. Each of us relies on others every day. We all rely on one another for support, resources, and to meet our needs. We are all interdependent. This interdependence is not weakness; rather, it is a part of our humanity." - A.J. Withers

Disability

 

 


NEW DELHI, MARCH 21 : "Sometimes, it is true, a sense of isolation enfolds me like a cold mist as I sit alone and wait at life's shut gate. Beyond there is light, and music, and sweet companionship; but I may not enter. Fate, silent, pitiless, bars the way…Silence sits immense upon my soul. Then comes hope with a smile and whispers, 'there is joy is self-forgetfulness.' So I try to make the light in others' eyes my sun, the music in others; ears my symphony, the smile on others' lips my happiness."
― Helen Keller, The Open Door

"For me, disability is a way of getting some extremity, some kind of very difficult situation, that throws an interesting light on people." -Mark Haddon

While the government is doing its bit to empower the persons with disabilities under the Accessible India Campaign, the private sector should also develop a fund to help such people gain sustainable employment or become entrepreneurs, Union Minister of State for Social Justice and Empowerment, Mr Ramdas Athawale said at an ASSOCHAM event held in New Delhi today.

"Though private enterprises and the industry undertake different initiatives as part of corporate social responsibility, they should also work towards helping persons with disabilities and develop a special fund for their skill development," said Mr Athawale while inaugurating an ASSOCHAM Conference on Empowering Persons with Disabilities.


He also said that it is the responsibility of both the government and the corporate sector to work in tandem to help and support people with disabilities by providing them vocational training to become self sufficient as they too are a part of the society.

He also said that reservation in vacancies in government jobs which had been enhanced from three per cent to four per cent in The Rights of Persons with Disabilities Bill - 2016, should be implemented in every sector.

"My Ministry is trying to ensure that all departments have four per cent disabled workers and they should also be imparted skill training to help them start their own business," said Mr Athawale.

On the occasion the Union Minister also released an ASSOCHAM-CBM India Trust joint study titled 'Mainstreaming through affordable ICT.'

The study stressed upon the need for development of affordable, effective and readily available information, communication technologies (ICTs) and assistive technologies in order to further empower the specially-abled people for creating an inclusive and power society.

It's the repetition of affirmations that leads to belief [-]
"Today I choose life. Every morning when I wake up I can choose joy, happiness, negativity, pain… To feel the freedom that comes from being able to continue to make mistakes and choices – today I choose to feel life, not to deny my humanity but embrace it." -Kevyn Aucoin
 

'Changing nature of pollens , active microbes
pose increased risk of infections , allergies '

Thesynergyonline Health Bureau

The maxims of medicine

"THE MAXIMS OF MEDICINE

Before you examine the body of a patient, Be patient to learn his story. For once you learn his story, You will also come to know His body.

Before you diagnose any sickness, Make sure there is no sickness in the mind or heart. For the emotions in a man's moon or sun, Can point to the sickness in Any one of his other parts.

Before you treat a man with a condition, Know that not all cures can heal all people. For the chemistry that works on one patient, May not work for the next, Because even medicine has its own Conditions.

Before asserting a prognosis on any patient, Always be objective and never subjective. For telling a man that he will win the treasure of life, But then later discovering that he will lose, Will harm him more than by telling him That he may lose, But then he wins.

THE MAXIMS OF MEDICINE by Suzy Kassem" - Suzy Kassem, Rise Up and Salute the Sun: The Writings of Suzy Kassem

A systemic disease 

 

 

 

PANCHKULA, MARCH 02 : As spring approaches, there is obvious relief from the freezing winters and cold-related conditions such as joint pain. However, changing temperatures and environmental conditions tend to increase the risk of allergies and infections, particularly among newborn babies and pregnant women.

 


Doctors at Paras Bliss Hospital, Panchkula are advocating greater caution for newborn babies and pregnant women as the weather shifts towards warmer climes. Both would-be-mothers and infants have low immunity levels and this makes them more vulnerable to health problems associated with seasonal change. Not only does seasonal change make pregnant women more vulnerable to infections, it can also aggravate both physical and emotional health issues.


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"What good is the warmth of summer, without the cold of winter to give it sweetness." - John Steinbeck, Travels with Charley: In Search of America

 

Elaborating on the subject, Dr Monica Agarwal, Consultant Obstetrics & Gynaecology, Paras Bliss Hospital, Panchkula says: "As the weather changes, it brings about a complete change in the environmental conditions. When it comes to women, hormonal and physical changes due to pregnancy mostly result in somewhat complicated implications within their bodies. Seasonal change can directly or indirectly pose physical discomfort during the months of pregnancy as the weather frequently and randomly shifts from being hot and humid to wet and cool and so on".


"Heat and humidity combined can take a toll on the overall well-being of pregnant women. In fact, some women may already possess a certain degree of heat intolerance, causing them rashes or cramps. Not only that, it can also lead to headaches, dizziness, early exhaustion, depression, mood swings and overall deterioration of emotional health (termed as seasonal affective disorder)," adds Dr Monica Agarwal, Consultant Obstetrics & Gynaecology, Paras Bliss Hospital, Panchkula.



 

At the same time, pregnancy induces changes in a woman's immune system. To be precise, it lowers the body's immune defenses to ensure that the uterus doesn't reject the fetus as a 'foreign body'. While this lowered immunity is absolutely necessary, it makes a would-be-mother vulnerable to catching infections such as common cold and cough.


In fact, flu can have serious consequences on the health of both the mother and the baby. Changes in the immune system, heart, and lungs during pregnancy make pregnant women more prone to severe illness from flu. In some cases, this can also have detrimental effect on the baby including premature labor and delivery. It is therefore extremely important to exercise caution and adopt high standards of hygiene during pregnancy. Getting a flu shot is also recommended.


The seasonal transition period also provides a fertile ground for infants to fall sick, mostly due to sudden dramatic fluctuations in their body's internal temperature, exposure to infections and lack of resistance.


"If you have a newborn baby at home, you must exercise greater caution during this time of the year, especially if this is his/her first time encounter with the season change. The new set of bacteria and viruses that thrive during this period can trigger various diseases and infections among the newborns. As they are the ones yet to develop acquired immunity for many infections and tend to lose heat quickly, these infections can even turn out to life-threatening in some cases," says Dr Jyoti Chawla, Senior Consultant Paediatrics, Paras Bliss Hospital, Panchkula.


Babies are highly susceptible to respiratory problems before the age of 6 months, so it is vital to take extra care in protecting them during the period of extreme sensitivity and not lower the guard all of a sudden, inform doctors.


"Climatic change patterns are difficult to adapt for the newborns, and more so if the surroundings are not healthy. Even as the weather starts warming up, do not lower the guard for your children and cover them up well in protective layers. Also remember that probably easiest way for babies to get sick is by catching the infection from an already infected person who maybe taking care of the kid. It becomes all the more important during the season change period to maintain hygienic habits around your little one to limit his/her exposure to microbes which can cause acute communicable diseases," adds Dr Dr Jyoti Chawla, Senior Consultant Paediatrics, Paras Bliss Hospital, Panchkula.


Here are few tips which will help in easing into season change patterns conveniently:
For would-be-moms
• Wear lightweight cotton or linen clothes as these will allow good airflow. While going outdoors, you may wrap a cool and scarf around the neck.
• Drink plenty of fluids to avoid dehydration, even if you do not feel thirsty.
• Take a balanced diet, as advised by your doctor. Avoid junk food.
• Take help from family, friends or a support group to cope with emotional stress.
• Indulge yourself in swimming or low impact physical activity like aerobics. However, remember not to overdo it.
• Get a flu shot administered; also ensure high level of hygiene
For infants
• Keep them away from the contact of sick individuals.
• Parents and other caretakers must exercise a routine of hand washing with sanitizers before handling the infant.
• Stick to breastfeeding, unless otherwise advised by your doctor. Breast milk helps in building immunity in newborns.
• Dress up your kid in warm layers, especially if you are taking him/her out during the evening sunset.
• Figure out a time of the day when the newborn is less likely to feel cold and give him/her a warm water bath during that period.
• Consider using humidifiers or air purifiers indoors, if required.

 

 

Pharma industry to reach US$ 55 bn in
3 years; medical tourism major growth driver


Thesynergyonline Health Bureau

 

NEW DELHI, FEBRUARY 20 : Big Pharma needs sick people to prosper. Patients, not healthy people, are their customers. If everybody was cured of a particular illness or disease, pharmaceutical companies would lose 100% of their profits on the products they sell for that ailment. What all this means is because modern medicine is so heavily intertwined with the financial profits culture, it's a sickness industry more than it is a health industry."


- James Morcan, The Orphan Conspiracies: 29 Conspiracy Theories from The Orphan Trilogy

But taking a contrarian view sick people need pharmaceutical industry to get themselves cured of ailments human beings are prone to suffer from.


Indian pharmaceuticals market is expected to touch US$ 55 billion by 2020 from the current level of US$ 36.7 billion in 2016 growing at a compound annual growth rate (CAGR) of 15.92 per cent, according to ASSOCHAM-IITTM joint study.

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"Wherever the art of Medicine is loved, there is also a love of Humanity. "- Hippocrates

"We look for medicine to be an orderly field of knowledge and procedure. But it is not. It is an imperfect science, an enterprise of constantly changing knowledge, uncertain information, fallible individuals, and at the same time lives on the line. There is science in what we do, yes, but also habit, intuition, and sometimes plain old guessing. The gap between what we know and what we aim for persists. And this gap complicates everything we do." - Atul Gawande, Complications: A Surgeon's Notes on an Imperfect Science


Indian pharmaceuticals market increased at a CAGR of 17.46 per cent during 2005-16 with the market increasing from US$ 6 billion in 2005 to US$ 36.7 billion in 2016. By 2020, India is likely to be among the top three pharmaceutical markets by incremental growth and sixth largest market globally in absolute size, noted the study titled 'Medical Value Travel (MVT),' jointly conducted by ASSOCHAM and research firm Indian Institute of Tourism and Travel Management (IITTM).

According to joint report, Indian Health Care is expected to rise at a rate of CAGR of 29 per cent in 2015-20 to US $280 billion with rising income, greater health awareness, increased precedence of lifestyle diseases and improved access to insurance,


The year 2015 witnessed the growth of 140% of foreign tourist's arrival on medical visa from the year 2013, where more than 50, 000 people visited India on medical visa. This number rose to approx 1,34,000 in 2015. In fact, the number of foreign tourist's arrival on a medical attendant visa also doubled from 2013 to 2015, increasing from 42,000 odd in 2013 to more than 99,000 in 2015, adds the study.


The study reveals that in the first 6 months of 2016 alone, close to a lakh foreign tourists have arrived on a medical visa making it a very lucrative market. The top most countries availing medical visa were Bangladesh, Afghanistan, Maldives, Republic of Korea and Nigeria.


The majority of the patients coming to India for treatment are from the Middle East, Africa, Bangladesh, Afghanistan, Maldives, Pakistan, Bhutan and Sri Lanka for its expertise in cardiac and orthopaedic procedures, in addition to other specialised areas like neuro-surgeries, cancer treatment and organ transplantation. India is also attracting medical tourists looking for the traditional system of medicine available in India, noted the study.


The ability to offer holistic medical services such as Unani, Yoga, Meditation, Ayurveda, and Homeopathic treatments (AYUSH) is also a huge attraction.

UL class change on li hover

  • "Wherever the art of Medicine is loved, there is also a love of Humanity. " - Hippocrates
  • Let us be the ones who say we do not accept that a child dies every three seconds simply because he does not have the drugs you and I have. Let us be the ones to say we are not satisfied that your place of birth determines your right for life. Let us be outraged, let us be loud, let us be bold." - Brad Pitt
  • "Isn't it a bit unnerving that doctors call what they do "practice"?" - George Carlin

There are less numbers of accredited hospitals in India. Thailand being a smaller nation has 55 JCI accredited medical facilities. Lack of enough accredited medical facilities decreases the supply potentials of India as a medical tourism hub. Though the cost of treatment in India is less but there is high cost of accommodation which creates a barrier for low income group patients. There is also lack of proper regulatory and review framework related to medical tourism giving way to many legal and ethical issues.

Many problems arise due to lack of synergy between various stakeholders. Stringent medical visa rules also create a barrier as it makes the process of entering in the country difficult. This issue is high on radar due to the influx of medical tourist from ISIS hit countries which creates huge security issue for India, highlighted the joint study.


The Government of India (GoI) has recognized the potential of medical tourism and has come up with supporting policies. The Indian Ministry of Tourism is actively promoting medical tourism through overseas road shows where market development assistance (MDA) is provided to medical and wellness tourism service providers to encourage overseas promotion. The government has introduced medical visa to govern medical tourism. In order to further expand the healthcare system and enhance its quality, the government also actively provides incentives and giving special approvals to foreign firms for direct investments.

India's cost of production is significantly lower than that of the US and almost half of that of Europe. It gives a competitive edge to India over others. Growing number of medical facilities are realizing the importance of accreditation and certification leading many labs and hospitals taking up accreditation and certification. This could increase the number of accredited facilities in India.

jQuery Effects - Fading

CANCER : "I'm not afraid of being dead. I'm just afraid of what you might have to go through to get there."

 

"We live in a universe devoted to the creation, and eradication, of awareness. Augustus Waters did not die after a lengthy battle with cancer. He died after a lengthy battle with human consciousness, a victim - as you will be - of the universe's need to make and unmake all that is possible." - John Green, The Fault in Our Stars

If you were to go, and hopefully someday you will, you would see a lot of paintings of dead people. You'd see Jesus on the cross, and you'd see a dude getting stabbed in the neck, and you'd see people dying at sea and in battle and a parade of martyrs. But Not. One. Single. Cancer. Kid. Nobody biting it from the plague or smallpox or yellow fever or whatever, because there is no glory in illness. There is no meaning to it. There is no honor in dying of." ? John Green, The Fault in Our Stars

Cancer
"While women represents a larger share of the self employed in developing countries and thus are less likely to secure bank credit according to the research by the World Bank.Cancer patients are lied to, not just because the disease is (or is thought to be) a death sentence, but because it is felt to be obscene -- in the original meaning of that word: ill-omened, abominable, repugnant to the senses. "It's a head trauma and a neck trauma that has affected the cervical area of his spine. But he's not incapacitated. There's no reason for surgery."-Carl Peterson
"We do have fairly high rates of screening for breast cancer and cervical cancer. I think that is having a very positive impact on mortality rates for those diseases. - Elizabeth Ward
"For our cervical cancer vaccine we pursued the objective of inducing a strong immune response and protection that lasts. We are encouraged by a sustained enhanced antibody response we saw with an HPV vaccine formulated with our novel adjuvant. Gary Dubin
"Adopt the pace of nature: her secret is patience." ? Ralph Waldo Emerson
"She blew more smoke toward me, a lazy game of cancer catch." ? Gillian Flynn, Gone Girl
"Females age 16 and under have immature cells of the cervix. These immature cervical cells are much more likely to be infected with HPV than the cervical cells of older women. And when a female age 16 and under is infected with HPV, the virus tends to cause more damage to the immature cervical cells."- Nancy Merrill The results of the study, ... indicate that achieving fusion in the cervical spine significantly improves pain scores. Thus, efforts to accelerate the fusion process, such as PEMF, have a demonstrable impact on patient care. Kevin Foley

The terms "Climacteria" in Latin, "Climacteric disease," "Change of life," "Critical time," "Turn of life," in English, "Temps critique," "Age de retour," "Ménopause," in French, and "Aufhören der Weiblichen Reinigung," in German, are understood to mean a certain period of time, beginning with those irregularities which precede the last appearance of the menstrual flow, and ending with the recovery of health. ~Edward John Tilt, The Change of Life in Health and Disease, 1870I will be replaced when you click.

 

POI may show symptoms of
menopause in early 30s


Dr Sagarika Agarwal, IVF Expert, Indira IVF Hospital, New Delhi

Menopause

"The women's health initiative standards for HRT is nothing but an embarrassment to all physicians, and I'm not sure why they have not retracted all the statements that came out of that joke of a study." - Marie Hoag MBA
A systemic disease 

 

 

 

 

NEW DELHI,  FEBRUARY 11 :
The onset of menopause usually occurs around the age of 40, but some women may have those symptoms of irregular menstruation in their early 30’s. This is known as Primary Ovarian Insufficiency (POI).

 

Hormone Replacement Therapy(HRT) is the most common treatment for POI that gives the body the estrogen and other hormones that ovaries are not making. HRT is usually a combination of an estrogen and a progestin (form of progesterone.) to regain her menstrual cycle along with improving sexual health. Progesterone is taken along with estrogen to balance out its effect on the lining of the womb, which even decreases risk of endometrial cancer.

 

Loss of libido, infertility, poor concentration and night sweats were felt by, Somya at the age of 38, along with menstrual irregularities for 8 months. These conditions were similar to menopause, but not the same, as she still had chances to conceive.


“We conducted a blood test to check her hormone levels and levels of estrogen (hormones responsible for fertility) were found to be low. High levels of Follicle stimulating hormone (FSH) that generates estrogen and Luteinizing Hormone (which signals a mature follicle o release egg) was the reason for it.”


“Follicle dysfunction was the major reason for her missing periods and in capability to conceive. She was told for Hormone Replacement Therapy (HRT) which is usually a combination of an estrogen and a progestin which gives the body the estrogen and other hormones that the ovaries are not making. She started having regular periods again and her luteinizing hormone levels were found to be reduced, which indicated better ovulation.”

"In peri-menopause our brains are being rewired to live with more inner wisdom, to adapt to a more direct current (intuition); and we may experience insomnia, forgetfulness and depression. It takes a great deal of courage and faith to go through this change, and some women go through painful breakdowns before they are ready to relinquish the struggle for control."- The Wisdom of Menopause, Dr. Christiane Northrup
"Do not become alarmed when you experience yourself in totally new ways," sighs Grandmother Growth tenderly. "You are changing, getting ready to be initiated into the third stage of your life. Are you ready for the ride of your life? - Susun Weed, Menopausal Years the Wise Woman Way
"All the emotional and psychological change of the peri-menopausal years are to the entire life cycle as the week before one's period is to the monthly cycle. All the issues that have been occurring pre-menstrually and which perhaps had been avoided till now- should I quit my job? Should I stay in this relationship – now come up and hit us between the eyes rather relentlessly, demanding that they be dealt with at this time." (Northrup, Wisdom of Menopause)" - Staness Jonekos, The Menopause Makeover: The Ultimate Guide to Taking Control of Your Health and Beauty During Menopause
"In this culture we are told to set goals. We are supposed to know where we are going and then take specific steps to get there. But this is not always possible, or even wise. It is the male model of linear, rational thinking. But the life process of women…is more chaotic and disorderly, more circular and intuitive. Sometimes we can't see the next horizon until we step out of the old life. We don't yet know where we are going. We may not know the place until we arrive." - A Woman's Journey to God, Joan Borysenko

Cigarette smoking, pesticides and chemicals can speed up follicle depletion. Normally,  a woman is born with 2 million primordial follicles (microscopic seeds which grow into follicles), which may get depleted or not function properly to cause POI. Some women are born with fewer primordial follicles, so they have a smaller pool of follicles to use throughout their lives. Even though only one mature follicle releases an egg each month, less mature follicles usually develop along with that mature follicle and egg. If these extra follicles are missing, the main follicle will not mature and release an egg properly.

 

Though the functions of a woman’s ovaries cannot be restored to normal but chances of getting pregnant can be increased. There are only 5 per cent chances for a woman (under the age of 40 years) with POI to get pregnant without medical intervention (‘Spontaneous Remission’; the ovaries may begin to function on their own, restoring fertility).

 

To restore the estrogen level, Hormone Replacement Therapy is useful along with IVF treatment for a woman to get pregnant after diagnosed for POI.

 

34 crore children to be dewormed on
National Deworming Day (Feb 10)

Thesynergyonline Health Bureau

 

Gall bladder cancer

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"I just like to catch fish, I don't care if it weighs half a pound or 10 pounds. But I can't do a lot of casting. I can work a jig or a worm. But not for long, especially if the big ones are biting. Those big bass will make it hurt after a while." - Terry Bradshaw
Untitled Document 

 

NEW DELHI, FEBRUARY 09 : "I think we consider too much the good luck of the early bird and not enough the bad luck of the early worm. "- Franklin D. Roosevelt


In order to combat the public health threat of intestinal worm infections in children aged 1-19, the Government of India is observing the third annual National Deworming Day on February 10 2017. A mop-up day will be held on February 15, to deworm any child who could not be dewormed on National Deworming Day.

 

Mr C K Mishra, Secretary (Health), Ministry of Health and Family Welfare said, "Currently the largest single day, public health program in the world, the National Deworming Day this year is set to reach approximately 34 crore children in 34 states and union territories in government and government-aided schools, anganwadis, and private schools."

 

Preschool and school-based deworming programs are globally recognized as a "development best buy". Deworming with the safe and beneficial Albendazole 400 mg tablet is an effective solution to controlling worm infections. India has the highest burden of worm infections in the world, with the WHO estimating in 2014 that over 22 crore Indian children aged 1-14 years are at risk. Intestinal worm infections can act as a deterrent to children's growth and development, and can adversely impact performance in school, and livelihood potential later in life.

 

"The NDD is being implemented through the combined efforts of Department of School Education and Literacy under Ministry of Human Resource and Development, Ministry of Women and Child Development and Ministry of Drinking Water and Sanitation. All stakeholders are committed towards achievement of the National Deworming Day objectives, as reflected in the joint directives signed for the National Deworming Day program by the Secretaries of the MoHFW, MHRD and MWCD.

 

The Health secretary further informed that Union Minister of Health and Family Welfare, Shri JP Nadda has also sent letters to the Chief Ministries of all States/UTs and all members of Lok Sabha and Rajya Sabha for their assistance in key tasks related to the Deworming efforts for health and well-being of children" Shri Mishra stated.



In an effort to improve child health scenario of the country, National Deworming Day aims to reach every child, regardless of their socio-economic circumstance. Schools and anganwadis are ideal platforms for such a program, reaching children in their natural environment in a coordinated, cost-effective, and systematic way. In addition, through extensive awareness generation and community mobilization efforts at state, district, and community levels, children who are out of school, live in hard-to-reach areas, and are from vulnerable populations are also mobilized to be dewormed at anganwadis on National Deworming Day.



A coordinated effort is rolled out across the country with tablets, communication material, and reporting forms delivered to the very last school and anganwadi well in time. Officials and functionaries at all levels are trained, including teachers and anganwadi workers, who are pillars of the program. This results in lakhs of anganwadi workers and teachers, who are trusted by the community, administering the deworming tablet to crores of children on a single day across the country.



Deworming may have very few side effects and some children, especially those with high worm infections, might experience nausea, mild abdominal pain, vomiting, diarrhoea, and fatigue. In line with the guidance from the Ministry of Health and Family Welfare, comprehensive adverse event protocols have been put in place.

Apart from being dewormed, maintaining healthy and hygienic practices will help children and communities remain safe from worm infections. National Deworming Day is conducted with technical assistance from WHO, National Centre for Disease Control and Evidence Action.

 

The Ministry of Health and Family Welfare envisions an open-defecation free India which holds the capacity to reduce the overall worm burden in a community. The efforts of Swach Bharat Abhiyan will further facilitate the progress and benefits of the National Deworming Day.

"Being on the tightrope is living; everything else is waiting."
- Karl Wallenda, world famous tightrope walker

Cervical cancer is preventable

Cancer screening, and HPV vaccination - key to prevention

"Authored by Dr Lata Kini, Lead Clinical Pathologist, CORE Diagnostics

 


Cancer

"The failure to accept cancer as a systemic disease is one of the greatest failures in modern medicine." - Michael Lam, Beating Cancer with Natural Medicine
A systemic disease 

 


Ask any 10 women in India whether they have ever undergone cervical cancer screening and about 9 of them would have not. Despite the readily available and convenient screening modalities in the form of Pap smear test or liquid based cytology that can help prevent cervical cancer or detect it in its asymptomatic stage, most women in India do not undergo regular cervical screening. As a result, an overwhelming number are diagnosed with the disease in an advanced or invasive stage, by when it becomes difficult to treat.



While cervical cancer is one of the deadliest cancers in women worldwide, it is also one of the easiest to prevent. However, lack of awareness about the disease, its causes, preventive measures as well as the need for screening makes it the leading cause of mortality due to cancer in women across the world. According to World Health Organization, more than 270,000 deaths are attributed to cervical cancer, with 85% occurring in developing countries like India. An estimated 132,000 new cases are diagnosed annually in India and 74,000 deaths are reported. India, therefore accounts for almost one third of the global cervical cancer deaths.


Top question of the dying: "What made me sick?"
- Steven Magee



On a brighter note, most of these deaths can be prevented if cervical cancer screening becomes a norm in India, along with vaccination for sexually transmitted HPV virus that is the leading cause of cervical cancer.



Early cervical cancer has no symptoms

Cervical cancer is the second most common cancer in women aged 15-44 years, affecting the cervix- the lower part of the uterus that connects it with the vagina. Most cases of cervical cancer are caused by sexually acquired infection of some strains of the Human Papilloma Virus (HPV).
With the advent of an authentic, non-invasive and cost effective screening technique, the incidence of this cancer has decreased manifolds, especially in the western world where most countries have instituted large scale screening programs for this disease. However, in India thousands of women continue to die every year from cervical cancer, particularly in rural areas where it still causes greater mortality than breast cancer.


If you are experiencing any abnormal vaginal discharge or bleeding, discomfort during sexual intercourse or general pelvic pain, make sure you consult your doctor immediately as these symptoms may be warning signs of cervical cancer. Other symptoms of the disease include loss of appetite, weight loss, fatigue, back pain, leg pain, swollen legs, bone fractures, and/or (rarely) leakage of urine or feces from the vagina. Bleeding after douching or after a pelvic examination is another common sign of cervical cancer.

 

Yet, in most cases cervical cancer does not present with any signs until it has spread well past the cervix to other parts of the body. The disease can be detected in pre-cancerous stage only through regular screening.

Cervical screening: The tests and guidelines

Cervical screening is the best way to detect cervical cancer at an early stage, and increases the rate of successful treatment.

 

Cervical cancer screening requires a doctor or a nurse who takes the exfoliated cells from the surface of the cervix and a pathologist who detects early changes of cancer, if present. Liquid based cytology (LBC) and PAP tests are the two main methods of cervical screening. Both these tests are non-invasive and essentially painless. These tests are important for disease prevention, as they help in detecting any abnormal cell growth in the cervix before it turns cancerous.

Screening is recommended for women between 21 and 65 years as majority of women diagnosed with cervical cancer are under 50 years of age; very few are over 65 years of age.

Details :

The guidelines: • Cervical screening (PAP or LBC) should start at the age of 21 years and should be performed after every three years till the age of 65 years. • It is discouraged before this age regardless of sexual initiation or other high risk factors. • Women can also get a combined Human Papilloma virus (HPV) test and PAP test every 5 years starting at the age of 30 years. • If any abnormality is detected, the testing should continue for 20 years from the time of detection.

HPV Vaccination

About 6.6 per cent of women are estimated to harbor cervical HPV infection at any given time. Almost 75 per cent of all sexually active adults are likely to be infected with at least one HPV type in their lifetime.

While a majority of the HPV infections resolve on their own, some of them turn cancerous. It takes 15 to 20 years for cervical cancer to develop in women with normal immune systems. It can take only 5 to 10 years in women with weakened immune systems, such as those with an untreated HIV infection.

There are currently 2 vaccines that protect against both HPV 16 and 18, known to cause at least 70 per cent of cervical cancers. Clinical trials have found these vaccines to be safe and effective in preventing infection with HPV 16 and 18. The vaccines must be administered before the first sexual activity. WHO recommends vaccination for girls aged 9-13 years as this is the most cost-effective public health measure against cervical cancer. If every female adheres to current HPV vaccination programs, cervical cancer rates will be reduced substantially.

However, HPV vaccination does not undo the need for cervical cancer screening, which is recommended for all women, even those who have undergone vaccination.

Other risk factors include:

• Long-term use of hormonal contraceptives • Early initiation of sexual activity • Multiple sex partners • Tobacco smoking • Co-infection with HIV • Poor hygiene • Diet low in antioxidants

Treatment trends

Treatment options vary according to the stage of the cancer and other clinical factors that include maintaining fertility and pregnancy. • Early cervical cancer is treated by various surgical modalities that include cryosurgery, laser surgery, cold knife conization, loop electrosurgical excision procedure, and hysterectomy. • If the cancer spreads to the lymph nodes and lymph vessels, a radical hysterectomy with the removal of pelvic lymph nodes is done. • Advanced cancers require surgery, radiation and chemotherapy. Various targeted drugs are also added to the chemotherapy regimen.


In life we always have some measure of control whether it be over our emotions or choices, but when it comes to cancer? The only thing you can control is how you respond to it

 

"

Gall bladder cancer most common digestive
cancer in women in India, say doctors

Thesynergyonline Health Bureau

• Incidence of gall bladder cancer has shown a substantial increase in cities of North
 

 

Gall bladder cancer

"Almost all the world is natural chemicals, so it really makes you re-think everything. A cup of coffee is filled with chemicals. They've identified a thousand chemicals in a cup of coffee. But we only found 22 that have been tested in animal cancer tests out of this thousand. And of those, 17 are carcinogens. There are ten milligrams of known carcinogens in a cup of coffee and thats more carcinogens than you're likely to get from pesticide residues for a year!" - Bruce Ames
Untitled Document 

NEW DELHI, DECEMBR 02 : "She had six months at most left to live. She had cancer, she hissed. A filthy growth eating her insides away. There was an operation, she'd been told. They took half your stomach out and fitted you up with a plastic bag. Better a semicolon than a full stop, some might say."
― Helen Hodgman, Jack and Jill

 

Have you been feeling an acute aching sensation on the upper right side of your tummy lately? Do you feel a loss of appetite for no apparent reason or are you experiencing problems with digestion? Do you eat too much of junk food or street food? You may be at risk of developing gall bladder cancer (GBC), a notoriously lethal malignancy of your digestive system?

 

Doctors at Venkateshwar Hospital, Delhi, say that gall bladder cancer is being increasingly diagnosed over the last decade in India especially in North and Eastern parts of India.

 

In India, GBC is most prevalent in the northern and northeastern states of Uttar Pradesh, Bihar, Orissa, West Bengal and Assam. But what is probably more alarming is the fact that this disease is showing a strong link to the female gender. It is twice more common in women than in men. Until even 10 years ago GBC was a rare form of cancer in India. But presently, India registers 7- 9 cases per one lakh population. It is the commonest digestive system cancer in women in India.

 

"The gall bladder is a small pear-shaped organ located on the right side of abdomen below the liver. It helps in concentrating and storing digestive fluids. When the food consumed by us enters the small intestine, the gall bladder contracts and releases bile to help us to digest fats easily. Gall Bladder Cancer may present with abdominal pain or jaundice or only non specific symptoms such as an vague pain or discomfort in right upper abdomen" says Dr Anupam Saha Head of Dept of Gastro and Hepato- Pancreato- Biliary Surgery, Venkateshwar Hospital.

 

Gallstones are considered as important risk factor for gallbladder cancer. The prevalence of gallstones on Ultrasound examination was found to be 1.99 per cent in males and 5.59 per cent in females. Gallstones are often present in 60–90 per cent of patients with gall bladder cancer.

 

Chronic infection of the gall bladder also predisposes to the development of gall bladder cancer.


Besides gall bladder stones and infection, lifestyle factors are also considered risk factors for this disease. These include obesity, lack of fruits, vegetables and fiber in your diet, smoking and consumption of alcohol.

 

"Obesity is probably the most significant risk factor when it comes to women in urban areas. Obesity is linked with significant metabolic and hormone abnormalities within the intestine as well as increased risk of gallstones, which in turn, raises the risk of malignancy. On the other hand, if your diet is low in fiber, vegetables and fruits, you are again at the risk of gall bladder cancer," informs Dr Anupam Saha.

 

"Gall bladder cancer is very aggressive in nature and unfortunately many patients present to the hospital in advanced stages. The symptoms of Gall Bladder Cancer in initial stages may be non-specific with vague discomfort or pain over the right upper abdomen. Once the disease progresses to the advanced stage, jaundice or lump may be visible. When the disease is detected early, curative treatment of gall bladder cancer is possible. Curative treatments include surgical resection of the gall bladder along with part of the liver. In addition medications and radiotherapy may be advised," adds Dr Anupam Saha.

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""What issues sidetrack you from your mission to get well?"
― Shirley Corder, Strength Renewed: Meditations for Your Journey Through Breast Cancer

 

 

'Cancel Cancer' campaign programme inaugurated
at Lady Harding Medical College, CP


The campaign will focus on increasing awareness about cancer, de-addiction and lethal effects of tobacco
 


Thesynergyonline Health Bureau


Women empowerment

"In an essay titled A View From the Front Line, Jencks described her experience with cancer as like being woken up midflight on a jumbo jet and then thrown out with a parachute into a foreign landscape without a map: "There you are, the future patient, quietly progressing with other passengers toward a distant destination when, astonishingly (Why me?) a large hole opens in the floor next to you. People in white coats appear, help you into a parachute and — no time to think — out you go. "You descend. You hit the ground....But where is the enemy? What is the enemy? What is it up to?...No road. No compass. No map. No training. Is there something you should know and don't? "The white coats are far, far away, strapping others into their parachutes. Occasionally they wave but, even if you ask them, they don't know the answers. They are up there in the Jumbo, involved with parachutes, not map-making." ? Siddhartha Mukherjee, The Emperor of All Maladies: A Biography of Cancer
Untitled Document


NEW DELHI, DECEMBER 26 : "This is your war now.' I despised myself for the cheesy sentiment, but what else did I have?
'Some war,' he said dismissively. 'What am I at war with? My cancer. And what is my cancer? My cancer is me. The tumors are made of me. They're made of me as surely as my brain and my heart are made of me. It is a civil war, Hazel Graze, with a predetermined winner."
― John Green, The Fault in Our Stars

 

And so Ministry of State for Health and Family Welfare has spearheaded a cancer awareness initiative, 'Cancel Cancer' at Lady Hardinge Medical College, Delhi.


The Minister of State for Health and Family Welfare, Government of India, Mr Faggan Singh Kulaste; Mr Naresh Kumar Tyagi, President, Lady Hardinge Medical College and Mrs S.K Hospital Employees Union; Mr Bishamber Dayal, General Secretary, Lady Hardinge Medical College and S.K Hospital Employees Union; Dr. A.P Maheshwari, IPS, A.D.G. BSF and the renowned doctors from Lady Hardinge Medical College and Safdarjung Hospital were present at the launch of the campaign in New Delhi to promote the cause.

 

The 360 degree event work has been conceptulised by Design Theka, BVM Design and Media House Pvt. Ltd., a creative led advertising agency based in Delhi. The initiative aims to focus on increasing awareness on various lethal effects of tobacco, causes of cancer and the measures taken to control it and with help of rich media will amplify engagement on digital platform to take the cause to the next level.

The Minister of State for Health and Family Welfare, Government of India, Mr Faggan Singh Kulaste at the launch of a cancer awareness initiative, 'Cancel Cancer' at Lady Hardinge Medical College, Delhi.
 


According to a report released in the year 2013 by the Government of India, in India, the age of one in every five person addicted to tobacco is less than 21 years. The report also mentions that out of 2 crore homeless children in India, 40-70 per cent children come in contact with some or the other form of intoxication. There are many kids falling for some or the other kind of intoxication before the age of 5.



On the launch, Minister of State for Health and Family Welfare, Government of India, Mr Faggan Singh Kulaste said, "Today, tobacco and its products are easily available at cheaper rates at every nook and corner of our country. These are being consumed mainly by the youth specially the school going kids of the middle and poor class. The sale of tobacco has been banned in the states of Gujarat and Maharashtra. In Delhi, the ban on tobacco has been imposed many times but this is reflected only on papers."

 


He further adds, "The campaign aims at educating people against the hazards of tobacco that is the root cause of cancer. The government supports this cause. We should actively participate in this noble campaign and contribute in any way possible to bring about the necessary change."

 


Further, 34.6 per cent population of our country is consuming tobacco. Out of these, 47.9 per cent are males whereas 20.3 per cent are females. One in every 10 deaths is due to consumption of tobacco and by the year 2030, 80 lakh people would die because of high tobacco consumption.



 

India needs to adopt a twin approach of fostering public-private partnerships

Shared value key to improve healthcare
delivery beyond cities: BD India

For large scale penetration of the Indian healthcare market, affordability (approximately 70 %
of all healthcare expenditure is out of pocket) and accessibility are key considering that nearly 70 %
of India's population....

 

 

Thesynergyonline Health Bureau

 

NEW DELHI, DECEMBER 16 :
With lack of access to quality and affordable healthcare one of the major challenges impacting a large section of the Indian population, healthcare experts say India needs to adopt a twin approach of fostering public-private partnerships and promoting innovative solutions to significantly improve accessibility and delivery.

  • Varun Khanna, Managing Director - BD India The BD India MD was speaking at a CII Panel on Universal Healthcare: Making it a reality
    • Speaking at a CII panel on 'Universal Healthcare – Stepping in the sun: Making it a reality', Varun Khanna, Managing Director - BD India said working in collaboration with innovative solutions and intelligent delivery designs are the way forward if India has to achieve its goal of 'healthcare for all'.
    • Private players
      • He said with almost two thirds of healthcare services in India being currently provided by the private sector, the government cannot achieve its goal without extensively engaging private players in its efforts to expand healthcare delivery to every part of the country.
      • BD is a leading global medical technology company that is advancing the world of health by improving discovery, diagnostics and the delivery of medical care through research and innovation.
    • "Indian healthcare system is plagued by extreme inequities. I believe that shared value can enhance competitiveness of any organization and also advance social and economic conditions in the communities in which it operates. We should understand the impact of working collaboratively across the healthcare ecosystem and bring a paradigm shift towards sustainable and transformational patient care for the future," said Khanna, while sharing the panel with esteemed representatives of hospitals, public health experts and health insurance providers. "
  • For large scale penetration of the Indian healthcare market, affordability (approximately 70 per cent of all healthcare expenditure is out of pocket) and accessibility are key considering that nearly 70 per cent of India's population lives in rural areas with no or limited access to healthcare. 65-70 per cent of the healthcare infrastructure and manpower is present in urban areas, while only ~30 per cent of the country's population lives in these regions.
  •  

     

     

    Orthopedic surgeons qualified and permitted
    to carry out spine surgery, says ASSI

    Clarification

    ASSI Secretary Dr H S Chhabra said the reports in some media publications following the APMC order tend to send out a wrong message that Orthopedic Surgeons are not qualified to perform spine surgery. Clarification comes in backdrop of media reports on an Andhra Pradesh Medical Council order suspending an orthopedic surgeon for alleged complications in a spine surgery

     

    Thesynergyonline Health Bureau


    "We, as a leading body of spine surgeons in India would like to clarify that spine surgery can be carried out by Orthopaedic Surgeons or Neurosurgeons who are adequately trained in the same. Thus Orthopaedic surgeons are fully qualified to carry out Spine Surgery, and this matter was clarified by the Medical Council of India itself in a statement dated 29th November 2013. It would hence be incorrect to imply that an Orthopaedic surgeon is not qualified or permitted to carry out Spine Surgery, as incorrectly implied in some reports," says Dr H S Chhabra, who is also Chief of Spine Service & Medical Director at Indian Spinal Injuries Centre, New Delhi.

    NEW DELHI, DEDEMBER 12 :
    The Association of Spine Surgeons of India today underlined that adequately trained Orthopedic Surgeons or Neurosurgeons are fully qualified as well as permitted to perform spine surgery by the Medical Council of India.

     

    The clarification by the umbrella body of spine surgeons of India came in a bid to correct confusion regarding this issue and misrepresentation in some sections of the media following the Andhra Pradesh Medical Council's (APMC's) action to suspend an Orthopedic Surgeon following alleged complications in a case of spine surgery conducted by him.

     

    ASSI Secretary Dr H S Chhabra said the reports in some media publications following the APMC order tend to send out a wrong message that Orthopedic Surgeons are not qualified to perform spine surgery. This picture misrepresents or miscommunicates the medical guidelines regarding Orthopedic surgeons' ability to treat spine surgery cases.

    ASSI Secretary Dr H S Chhabra said :

    The reports in some media publications following the APMC order tend to send out a wrong message that Orthopedic Surgeons are not qualified to perform spine surgery. This picture misrepresents or miscommunicates the medical guidelines regarding Orthopaedic surgeons' ability to treat spine surgery cases.

    He adds :

    "We, as a leading body of spine surgeons in India would like to clarify that spine surgery can be carried out by Orthopaedic Surgeons or Neurosurgeons who are adequately trained in the same."

    Orthopaedic surgeons

    Thus orthopaedic surgeons are fully qualified to carry out Spine Surgery, and this matter was clarified by the Medical Council of India itself in a statement dated 29th November 2013. It would hence be incorrect to imply that an Orthopaedic surgeon is not qualified or permitted to carry out Spine Surgery, as incorrectly implied in some reports," says Dr H S Chhabra, who is also Chief of Spine Service & Medical Director at Indian Spinal Injuries Centre, New Delhi.

    He adds :

    "We request the media to correct its representation of the case so that there s no misconception among patients and other regulatory bodies regarding Orthopedic experts ability to treat the spine and perform spine injuries," adds Dr Chhabra.

     

    "We, as a leading body of spine surgeons in India would like to clarify that spine surgery can be carried out by Orthopaedic Surgeons or Neurosurgeons who are adequately trained in the same. Thus Orthopaedic surgeons are fully qualified to carry out Spine Surgery, and this matter was clarified by the Medical Council of India itself in a statement dated 29th November 2013. It would hence be incorrect to imply that an Orthopaedic surgeon is not qualified or permitted to carry out Spine Surgery, as incorrectly implied in some reports," says Dr. H S Chhabra, who is also Chief of Spine Service & Medical Director at Indian Spinal Injuries Centre, New Delhi.


    The ASSI urged the media to clarify this matter as these reports have created unwarranted confusion in the minds of patients about the ability and legality of Orthopaedic Surgeons for
    performing Spine Surgery.

    The media reports pertain to a case involving an orthopedic surgeon who had been served an order to delist his name from the APMC for a period of one year on the charges of "impersonation and medical negligence". The Orthopedic Surgeon has since filed a writ petition in the AP High court and has been granted an interim stay.

    "Till a few decades ago, orthopedics and neurosurgical fields were a part of general surgery and the same surgeon would perform abdominal, neurosurgical and orthopedic operations. However, at present the curriculum for training in orthopaedic and neurosurgery incorporates medical and surgical management of all spinal ailments and thus spine diseases continue to be effectively treated by orthopaedic surgeons as well as neurosurgeons.
    "We request the media to correct its representation of the case so that there s no misconception among patients and other regulatory bodies regarding Orthopedic experts ability to treat the spine and perform spine injuries," adds Dr Chhabra.
     

    ASSI is a registered association of super specialists in spine surgery in India. Its members are Orthopedic Surgeons as well as Neurosurgeons, with specific training and experience in Spine surgery. This being a dedicated association of spine surgeons, ensures high degree of updating of knowledge, experience, training and skills.

    To dispel any confusion in the minds of the patients, doctors and the regulatory authorities, a clarification was sought by the association from the Medical Council of India in 2013, on the "eligibility of orthopaedic surgeons vis-à-vis neurosurgeons to perform spine surgery".

    The 25th Meeting of the Board of Governors of the MCI on August 6 and 7 , 2013 held detailed discussions on the issue and decided that Orthopedicians may also provide for spinal care including surgery to the patients (copy of MCI letter in this regard enclosed).

    Wellness industry projected to touch
    Rs 150,000 cr by FY20: Report

     

    Thesynergyonline Health Bureau

     

    "There are more than 9,000 billing codes for individual procedures and units of care. But there is not a single billing code for patient adherence or improvement, or for helping patients stay well." ? Clayton M. Christensen, The Innovator's Prescription: A Disruptive Solution for Health Care

    It seems quite pointless to waste health relentlessly in order to earn money that we shall spend on recovering health."- Eraldo Banovac


    NEW DELHI, DECEMBER 09 :" Modern allopathic medicine is the only major science stuck in the pre-Einstein era."
    - Charlotte Gerson, Healing the Gerson Way: Defeating Cancer and Other Chronic Diseases

    Ad so health and wellness are crucial to any country especially a young demography like India, where 47% comprises of people below the age of 25. As this population enters the workforce, their wellness becomes a major growth driver for the economy. It is estimated that the increasing Non communicable diseases (NCD) burden will cost India close to US$ 5 trillion due to loss of productivity. This, coupled with the growing geriatric population, Indian healthcare desperately needs to shift its focus towards preventive and promotive care.


    FICCI in association with EY consulting released a report titled "Value Added Service –
    Wellness and Preventive Healthcare", during the 9 th Annual Health Insurance Conference at
    New Delhi. The report was released by Mr. T S Vijayan, Chairman, IRDAI in the presence of
    renowned dignitaries from the insurance and healthcare sectors.


    As per the report, major risks causing NCDs in India are tobacco, dietary risks, obesity, high
    blood pressure and air pollution which potentially could be mitigated through focusing on
    individual well-being and adopting appropriate preventive care.


    Preventive and wellness care practices from across the globe have been put together and
    analysed to draw learning's from an India perspective. The report also highlights local case
    studies about wellness and healthcare start-ups such as Practo Technologies, Gympik and
    Medibuddy Infiniti for insurers to galvanize the potential of preventive care market.

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    G Srinivasan, co-chair, FICCI Health Insurance Committee & CMD, The New India Assurance said :

    "Providers suggest that the major challenges for implementing wellness initiatives in India is the lack of control over the fragmented ecosystem and the unorganized regulatory guidelines that encompass the wellness and preventive care segment".

    Ashish Mehrotra, MD & CEO, Max Bupa Health Insurance informed :

    The report provides global best practices and a comprehensive understanding of the local market opportunity with implementable recommendations for the insurers, government stakeholders and other entities of the ecosystem while focusing on individual well-being. Mr Mehrotra was also leading the FICCI task force on 'Value Added Service – Wellness and Preventive Healthcare'

    According to the report

    The three major actionable that can empower the wellness and preventive healthcare market in India are wellness incentives embedded innovative insurance and healthcare products, wellness marketplace to support or drive the wellness benefits and an organized and co-existing ecosystem.



    Internationally, wellness is a necessary component to most insurance products. Innovative
    products offering a large span of services is a common place in countries like UK, Singapore
    and South Africa. In India, wellness has been included as part of the some of the products
    being offered by private insurers as a differentiator. However, we need to work towards
    making it a permanent feature.

     

    Need to promote preventive health
    screening in India, say doctors

     

     
    360 patients benefit from the special health camp where doctors also offered free of cost consultations

    Thesynergyonline Health Bureau

     

    NEW DELHI, DECEMBER 08 :
    With an increasing burden of lifestyle diseases afflicting Indians doctors at Venkateshwar Hospital, New Delhi say it is important to inculcate the culture of preventive health screening among Indians to catch diseases early.

     

    Vekateshwar Hospital, Dwarka held a special multi-specialty health camp for residents of the locality to encourage them to undergo preventive health screenings.

     

    Doctors from 19 specialties including Cardiology, Pulmonology, Internal Medicine as well as Orthopedics participated in the camp and offered consultation and advice to a large number of people seeking medical help. A number of the participants at the camp came in for second opinions, while several walked in for a general health check up. The investigations offered at the camp included Random Blood Sugar, Blood Pressure, BMI, among others.

     

    As many as 360 patients benefited from the health camp where they sought expert consultations and opinions on issues nagging their health.

    Preventative health screening
    "Preventive health screenings is the process of checking individuals for any anomaly before any symptoms arise. In western countries, annual preventive screenings are a part of every individual's life. They often help in spotting dangerous diseases early and ensure timely treatment and survival. In India, however, the culture of preventive health screenings is yet to take root. Forget preventive screenings, in our country most people even ignore symptoms and wait for them to resolve on their own," says Dr Rajiv Malhotra, Medical Director, Venkateshwar Hospital Dwarka.
    An ounce of prevention is worth a pound of cure." ? Benjamin Franklin
    "The pain of severe depression is quite unimaginable to those who have not suffered it, and it kills in many instances because its anguish can no longer be borne. The prevention of many suicides will continue to be hindered until there is a general awareness of the nature of this pain." ? William Styron, Darkness Visible: A Memoir of Madness
    "There is only one ultimate and effectual preventative for the maladies to which flesh is heir, and that is death." ? Harvey Williams Cushing
    "... From want of foresight men make changes which relishing well at first do not betray their hidden venom, as I have already observed respecting hectic fever. Nevertheless, the ruler is not truly wise who cannot discern evils before they develop themselves, and this is a faculty given to few." ? Niccolò Machiavelli
    "Pragmatism is good prevention for problems."
    He who cures a disease may be the skillfullest, but he that prevents it is the safest physician." ? Thomas Fuller
    "Good hygiene enhanced sound well-being."
    <div align="left">Preventative health screening</div>
    Nature had found the perfect place to hide the yellow fever virus. It seeded itself and grew in the blood, blooming yellow and running red." ? Molly Caldwell Crosby, The American Plague: The Untold Story of Yellow Fever, the Epidemic that Shaped Our History
    "Malaria-hosting mosquitoes will not wait politely during their most active evening feeding hours for people to go to bed under mosquito nets." ? T.K. Naliaka
    "When we assess someone's life or health on the basis of surface-level observations or passing comments, it presents us with a very flawed version of reality." ? Evita Ochel, Healing & Prevention Through Nutrition: A Holistic Approach to Eating and Living for Optimal Health, Weight, and Wellness
    When considering grand plans for effective communicable disease control in this time of Ebola peril, malaria continues to kill nearly a million people a year world-wide, and by far the single most reliable protection against malaria is to sleep under a mosquito net, but one of the major impediments to this basic and effective malaria control is that many people, regardless of education level or country of origin, in malaria endemic zones don't install and use one, not that they can't get one, but because they don't think the mosquito net 'looks nice." ? T.K. Naliaka
    It is not possible to live in a malaria endemic zone without either being sickened by it oneself or without knowing someone who has had it or been hospitalized with it or without personally knowing at least one man, woman or child who has died from it or without knowing at least one woman who has lost her unborn baby from it." ? T.K. Naliaka
    "To paraphrase Lucretius, there's nothing more useful than to watch a man or woman in times of contagious deadly disease peril combined with his or her assumptions of financial adversity to discern what kind of man or woman they really are." ? T.K. Naliaka
    "Shovels aren't very glamorous, but they've been liberating entire communities from malaria for the past 5,000 years." ? T.K. Naliaka
    "If the natural environment is changed and the electromagnetic radiation levels increase, then it may cause illness and disease in humans." ? Steven Magee, Solar Radiation, Global Warming and Human Disease
     

     

    “Preventive health screenings is the process of checking individuals for any anomaly before any symptoms arise. In western countries, annual preventive screenings are a part of every individual’s life. They often help in spotting dangerous diseases early and ensure timely treatment and survival. In India, however, the culture of preventive health screenings is yet to take root. Forget preventive screenings, in our country most people even ignore symptoms and wait for them to resolve on their own,” says Dr Rajiv Malhotra, Medical Director, Venkateshwar Hospital Dwarka.

     

    Regular health screenings are especially necessary to check for diabetes, cardiovascular disease, hypertension, and several forms of cancers. An annual screening can help you keep aware of your body and its vital statistics.

     

    “We often meet patients who have not had their blood pressures checked for years. This lackadaisical approach to health can be very harmful. Untreated chronic blood pressure can lead to strokes and heart attacks. A lot of people realize they are hypertensive after suffering such as episode. This is because often high blood pressure doesn’t manifest any symptoms also. With changing lifestyles, incidence of non-communicable diseases are rising in India. This makes it even more pertinent for Indians to adopt the practice of preventive screenings,” adds Dr  Rajiv Malhotra, Medical Director, Venkateshwar Hospital Dwarka.

     

    Apart from investigations and consultation, the patients were also dispensed valuable advice on the need for maintaining a healthy body weight, indulging in regular physical exercise and undergoing regular tests for blood pressure and blood sugar.

     

    AROGYA - Ayurveda Expo inaugurated
    at Science City, Kolkata

    AROGYA, the Ayurveda Expo was inaugurated at Science City, Kolkata by Mr Shripad Yesso Naik, Minister of State (Independent Charge) for AYUSH, Govt of India
    Ayurveda stakeholders from India and abroad can take advantage of a mega event like AROGYA EXPO. While the World Ayurveda Congress aims to nurture Ayurveda as a Way of Life, the Expo elucidates the viability of Ayurveda and natural medicine as a robust and thriving source of alternate medicine."
    In the evening of Nov 30, 2016 two important memoranda of understanding (MoUs) were signed by the Central Council for Research in Ayurvedic Sciences (CCRAS), Ministry of AYUSH, Govtof India with premier universities in Argentina and Israel.
    The Ayurveda Ecosystem remains the focal point of the World Ayurveda Congress, and with this objective in mind, the 4-day session includes scientific papers of international caliber, B2B meet, conclave on Ethno pharmacology, Seminars, Scientific Lectures and Workshops on Scientific Writing, Panchakarma, Ksharkarma, Afforestation of Medicinal Plants and Mental Health.
    MoUs signed between universities of Argentina and Israel for collaborative research and curriculum development
     


    Thesynergyonline Health Bureau

     

    NEW DELHI, DECEMBER 02 :
    AROGYA, the world's largest Ayurveda Expo was inaugurated at Science City, Kolkata by Mr. Shripad Yesso Naik, Minister of State (Independent Charge) for AYUSH, Govt of India. This unique 4-day expo is a part of the 7th World Ayurveda Congress, supported by the Ministry of AYUSH, Govt of India and every year, it brings together an astounding number of Ayurveda practitioners, scientists, researchers, teachers and students from India and abroad.


    Speaking at the function Mr. Shripad Yesso Naik, Minister of AYUSH, Govt of India said, "Ayurveda stakeholders from India and abroad can take advantage of a mega event like AROGYA EXPO. While the World Ayurveda Congress aims to nurture Ayurveda as a Way of Life, the Expo elucidates the viability of Ayurveda and natural medicine as a robust and thriving source of alternate medicine."
     

    AROGYA EXPO showcases the best that Ayurveda sector has to offer in terms of products and services with best Ayurvedic innovations by leading companies and health care options by medical and educational institutions. Cultivators, collectors and medicinal plant dealers will display the giant strides made in backward integration and resource security for the Ayurveda sector that relies on nature and natural ingredients for health care delivery. Free health checkups at AYUSH Clinics are another highlight of the expo.

     

    In the evening of Nov 30, 2016 two important memoranda of understanding (MoUs) were signed by the Central Council for Research in Ayurvedic Sciences (CCRAS), Ministry of AYUSH, Govtof India with premier universities in Argentina and Israel.

     

     

     

    Strengthening The Ayurveda Ecosystem remains the focal point of the World Ayurveda Congress, and with this objective in mind, the 4-day session includes scientific papers of international caliber, B2B meet, conclave on Ethno pharmacology, Seminars, Scientific Lectures and Workshops on Scientific Writing, Panchakarma, Ksharkarma, Afforestation of Medicinal Plants and Mental Health.

     

    J P Nadda felicitates doctors with
    'India News Health Awards'

     

    Thesynergyonline Health Bureau

     

     

    Doctors and Patients

    Before you examine the body of a patient, be patient to learn his story. For once you learn his story, you will also come to know his body." ? Suzy Kassem, Rise Up and Salute the Sun: The Writings of Suzy Kassem
     

     

    NEW DELHI, NOVEMBER 21 :
    In ceremony held at The Lalit, Delhi, 19 doctors and professionals from healthcare industry were felicitated with the India News Health Awards by Mr J P Nadda, Union Minister for Health & Family Welfare. Under this unique initiative, the First Edition of India News Health Awards honoured doctors and individuals from healthcare industry for their exemplary work.

     

    Winners in various categories were felicitated for the outstanding contribution in their field of expertise by Mr J P Nadda, Union Minister of Health and Family Welfare, who was present on the occasion as chief guest along with guest of honour - Dr Jitendra Singh, Minister of State, PMO and other dignitaries, leaders and celebrities.

     

    Speaking on this initiative, Mr. Kartikeya Sharma, Founder & Promoter, iTV Network said, "On behalf of India News, I extend my gratitude to all the winners of Health Awards. It's a matter of pride to honour the doctors for their remarkable duty towards ensuring a healthy society."

    He further added, "India News Health Awards recognises doctors and professionals from healthcare industry who have worked tirelessly while achieving excellence in their field of expertise. It is a privilege for us to felicitate awardees who have rendered distinguished service to the society."  

    Increasing incidence of aggressive
    cancers in Indian women a major concern

    Thesynergyonline Health Bureau

     

    CHENNAI, NOVEMBER 19 :
    "Breast cancer, whether I like it or not, is part of my family's story. That's why I am so passionate about raising awareness, because I have seen firsthand how it can impact others." - DeAngelo Williams

     

    And so breast cancer is today the leading cause of cancer-related deaths in Indian women. Not only is breast cancer incidence increasing in the country, but cases of more aggressive cancers that are difficult to treat are also on the rise.



     

    It is disheartening to note here that the survival rates for younger women are actually lower than older women, because the former tend to have more aggressive cancers that grow rapidly, are more invasive, and have poorer prognosis.

     

    The factors responsible for rising breast cancer incidence in India include adoption of lifestyle involving smoking, drinking, and sedentary habits; obesity, reduced consumption of organic foods, particularly vegetables and fruits; delayed age of marriages and child birth for women; late age of first term pregnancy or no pregnancy (nulliparity); reduced durations of breast feeding or no breast feeding, as well as late menopause.


    The good news is that survival rates have improved in recent years due to the availability of highly improved therapies and treatment protocols, and adoption of a multi-disciplinary approach to treatment has helped a lot. Today, it is possible to successfully prolong the life of a patient using a multi-dimensional approach to treatment, especially if the disease is diagnosed in stage 1 or stage 2. According to American Cancer Society, there are around 2.8 million breast cancer survivors in the United States. In fact the survival rates in developed countries such as the US, Japan and Sweden are more than 80%. In western countries, regular screening programs have succeeded in early identification and treatment of a large number of women.

     

    However, late diagnosis remains a major challenge in India and survival rates here are among the lowest in the world. More than 60% of patients are diagnosed in stage 3 or 4, by when the cancer has spread to more than the immediately affected region.

     

    Most patients who are suffering from highly treatable cancers also lose out the battle because of late detection. Absence of a community based screening program in India puts the onus on individuals.

    Breast cancer can be defeated by staying alert

    Almost half of the breast cancer deaths in India can be preventable if the disease is presented on time. Regular screening not only saves lives by diagnosing the disease at an early stage, but also allows doctors to undertake less toxic and less disfiguring treatments:

    • Monthly self examination starting at 25 years of age: Once in a month after completion of menstrual bleeding, it is recommended that you conduct a self examination to rule out any lump, or change in shape of your breast area.

    • Clinical breast examination is recommended every 3 years after one turns 25

    • Clinical Breast Examination with mammography yearly after the age of 40 years.

    • Consider genetic testing for BRCA 1/BRCA 2 genes if more than one family member has been diagnosed with breast cancer. This will help you know your risk

     

    Epilepsy is a disease in the shadows. Patients are often reluctant to admit their condition - even to close family, friends or co-workers - because there's still a great deal of stigma and mystery surrounding the disease that plagued such historical figures as Julius Caesar, Edgar Allan Poe and Lewis Carroll. - Lynda Resnick

     

    Social stigma prevents epilepsy patients
    from getting right medical care

     

    Thesynergyonline Health Bureau

     

    Epilepsy or seizure disorder

    Click To Play

    GURGAON, NOVEMBER 18 :


    Epilepsy or seizure disorder is the fourth most common neurological disorder affecting people of all ages. As we observe National Epilepsy Day, doctors at Paras Hospitals, Gurgaon are advocating the need for greater awareness about the medical condition to quell the social stigma associated with it.

     

    Despite being a common condition, a number of myths, misconceptions and stigma is attached to it, preventing a number of people from openly discussing their condition and seeking the right medical treatment and care.

     

    At a press conference to highlight the prevalence of this condition and raise awareness about it, doctors said that ignorance and lack of awareness about neurological conditions is at the root of social stigmatization.

    When the brain activity is kindled in the right spot, people hear voices. If a physician prescribes an anti-epileptic medication, the seizures go away and the voices disappear. Our reality depends on what our biology is up to." ? David Eagleman, Incognito: The Secret Lives of the Brain

    A big seizure just kind of grabs the inside of your skull and squeezes

    "A big seizure just kind of grabs the inside of your skull and squeezes. It feels as if it's twisting and turning your brain all up and down and inside out. Have you ever heard a washing machine suddenly flip into that bang-bang-bang sound when it gets out of balance, or a chain saw when the chain breaks and gets caught up in the gears, or an animal like a cat, screeching in pain? Those are what seizures felt like when I was little."- Terry Trueman, Stuck in Neutral

    If an epileptic seizure is focused in a particular sweet spot in the temporal lobe....

    "If an epileptic seizure is focused in a particular sweet spot in the temporal lobe, a person won´t have motor seizures, but instead something more subtle. The effect is something like a cognitive seizure, marked by changes of personality, hyperreligiosity (an obsession with religion and feelings of religious certainity), hypergraphia (extensive writing on a subject, usually about religion), the false sense of an external presence, and, often, the hearing voices that are attributed to a god. Some fraction of history´s prophets, martyrs, and leaders appear to have had temporal lobe epilepsy. When the brain activity is kindled in the right spot, people hear voices. If a physician prescribes an anti-epileptic medication, the seizures go away and the voices disappear. Our reality depends on what our biology is up to." - David Eagleman, Incognito: The Secret Lives of the Brain

    "Listen, we'll come visit you. Okay? I'll dress up as William Shakespeare, Lucent as Emily Dickinson, and beautiful 'Ray' as someone dashing and manly like Jules Verne or Ernest Hemingway...and we'll write on your white-room walls. We'll write you out of your supposed insanity. I love you, Micky Affias. -James (from "Descendants of the Eminent")"

    "We got there without being spotted. I pulled her in, then shut the door, pressing my back to it and exhaling like an epileptic pilot who'd just landed a cargo plane full of dynamite." ? Brandon Sanderson, Firefight

    Kelley Armstrong "What the hell is that?" I jumped and glanced over to see Kristof staring at Grady, who was waving his arms, rolling his eyes, shaking and moaning. "I think he's possessed," I said. "By what? Epilepsy?" - Kelley Armstrong, No Humans Involved

    There's nothing more debilitating about a disability than the way people treat you over it

    "There's nothing more debilitating about a disability than the way people treat you over it." ? Solange nicole

    "For if a man by magical arts and sacrifices will bring down the moon, and darken the sun, and induce storms, or fine weather, I should not believe that there was anything divine, but human, in these things, provided the power of the divine were overpowered by human knowledge and subjected to it." - Hippocrates, Hippocratic Writings

    "Electricity is life but electricity is an invisible fist punching up your spine, knocking your brains right out of your skull." ? Ray Robinson, Electricity

    "[Epilepsy] gave her an adversity to fight against. It had shaped her personality, the need to be careful and secretive, and the ability to see things a bit differently from the neurotypical. She granted that this feeling of having a broken brain that required her to be sensitive, to look always inward to survive, might be why she turned artist." - Thomm Quackenbush, Flies to Wanton Boys

    "There's a part of the human brain, the temporal lobe, that is associated with religious experiences as well as with epilepsy." - Ken MacLeod, Descent

    In an electroencephalogram… one of her seizures was almost identical to an orgasm

    "In an electroencephalogram… one of her seizures was almost identical to an orgasm... Nothing happened during a seizure that couldn't happen outside one, except that Roselyn was not in control of it and it happened all at once. Since then, she had experienced hundreds of orgasms and dozens of seizures and, though she didn't come close to finding the latter nearly as entertaining as the former, it was always in her mind. In the midst of Dryden's often machine gun lovemaking or her own considerably more directed and soft ministrations, it was always in the back of her mind at the moment of climax—this is a tenth of a seizure, this is a fifth of one." - Thomm Quackenbush, Flies to Wanton Boys

    There's a part of the human brain, the temporal lobe...

    "Wolves exhibiting strange behaviour - caught in traps and thrashing about, injured by other creatures or by bullets, pups suffering from epilepsy -- are attacked and killed by their pack members. But here everyone is human and must try to understand each other's mystery. Each other's pain." -Nadeem Aslam" - Ken MacLeod, Descent

    Seize the moment so the moment doesn't seize you!

    "Seize the moment so the moment doesn't seize you! Stay aware & dare to care! Hope, Faith, Courage & Patience! In God I Trust!"

    Epilepsy is a disease in the shadows. Patients are often reluctant to admit their condition - even to close family, friends or co-workers - because there's still a great deal of stigma and mystery surrounding the disease that plagued such historical figures as Julius Caesar, Edgar Allan Poe and Lewis Carroll." - Lynda Resnick

    There are few chemicals that we as a people are exposed to that have as many far reaching physiological affects on living beings as Monosodium Glutamate does. MSG directly causes obesity, diabetes, triggers epilepsy, destroys eye tissues, is genotoxic in many organs and is the probable cause of ADHD and Autism. Considering that MSG's only reported role in food is that of 'flavour enhancer' is that use worth the risk of the myriad of physical ailments associated with it? Does the public really want to be tricked into eating more food and faster by a food additive?" - John E. Erb

     

    "We come across many people who have been silently suffering from the condition for years without seeking medical treatment because they are too embarrassed to discuss it with someone. Families even try to hide the condition of their loved one from the society fearing stigmatization and segregation. Many people even link Epilepsy with insanity which is an absolutely ignorant thing to do. It is important to raise awareness about the condition and educate people that epilepsy is a medical condition which can be effectively treated," says Dr Rajnish Kumar, Sr Consultant & Unit Head, Neurology, Paras Hospitals, Gurgaon.

    Dr. Amit Arora, Senior Consultant, Neurology, Paras Hospitals, Gurgaon and Dr Sunil Singla, Senior Consultant, Neurology, Paras Hospitals, Gurgaon also participated in the press conference.

     

    Do not partner with fear to help you make decisions"
    ― Jeannette Gregory

    Alarming rise in breast cancer among young women: Over 40 % of patients now below 50

    "Breast cancer is being detected at an earlier, more treatable stage these days, largely because women are taking more preventive measures, like self-exams and regular mammograms. And treatment is getting better too." - Elizabeth Hurley
    "With over 3 million women battling breast cancer today, everywhere you turn there is a mother, daughter, sister, or friend who has been affected by breast cancer." - Betsey Johnson
     

     

    Thesynergyonline Health Bureau

     

    BANGALORE , NOVEMBER 14 : In what is being seen as an alarming medical trend by doctors, the incidence of breast cancer is rapidly increasing among younger women in India, with more than 40 per cent of the patients now below 50 years of age.

     

    "Till as early as 10 years back breast cancer was largely considered a disease of elderly women. In fact, age is still considered a major risk factor for breast cancer across the world. However, this medical belief is now on shaky ground with the changing features of the disease being manifested in patients today. Unlike a decade back when most women patients diagnosed with breast cancer were above 50, today more women under 50 years of age are being diagnosed with the disease," says Dr Prasad Narayanan, Medical Oncologist, Cytecare Hospital.


    Terming it a multi-factor health issue Dr Narayanan blames lifestyle risk factors for the rise in incidence of breast cancer. Among the causes for the surge are increasing obesity, urban lifestyle, lack of exercise, delayed age of childbearing and reduced breastfeeding. The rampant night club culture in cities like Bangalore which promotes unhealthy eating, excessive smoking and drinking indulgences are all contributory factors.

     

    The demography of Indian patients is emerging as different from those in the West where breast cancer is still more prevalent in older women.


    "Not only are more younger women being diagnosed with the disease, it has also been observed that cancers in younger women are typically more aggressive which do not respond to common therapies and have more chances of relapsing. Women diagnosed at a younger age also are more likely to have a mutated BRCA1 or BRCA2 genes which suggests hereditary origin of the disease," adds Dr Narayanan.


    Unfortunately, most young women do not care about regular screening and some even tend to ignore warning signs because they believe they are too young to suffer from breast cancer. In its very initial phase, breast cancer doesn't present any symptoms; the earliest symptoms that may manifest include a painless lump in the breast, unusual discharge from the nipple, a change in the breast shape or size, or swelling or lump in the underarm area. Any notable abnormality in the breast should be immediately reported to a doctor and evaluated for further investigation.

     

    Late stage detection and lack of screening programs are the biggest concerns in India, with more than 60% of the patients diagnosed in later stages of the disease. Clinical evidence suggests that the percentage of early diagnosed patients is still abysmally low in India, with less than 10 per cent diagnosed in stage 1 and less than 20% diagnosed in stage 2. This means that as many as 60 to 70 percent of the patients present at stage III or stage IV when it is too late to treat the disease or prolong the life of the person.

     

    Dr Narayanan says there is imminent need for more cancer registry centers in the state to gauge the true extent of the problem.

     

    The good news is that breast cancer is curable if detected timely, and only increased awareness and better screening practices can ensure improved survival rates.

     

    According to estimates of World Health Organization (WHO), roughly 144,937 women in India were detected with breast cancer in 2012 and 70,218 died of it, making it one death for every two new diagnoses. With the incidence of the disease rising by more than 20% since 2008, India is expected to have a whopping 200,000 new cases of breast cancer per year by 2030.

     

    Stay Alert Once You Turn 25.

    Almost half of the breast cancer deaths in India can be preventable if the disease is presented on time. Regular screening not only saves lives by diagnosing the disease at an early stage, but also allows doctors to undertake less toxic and less disfiguring treatments:

    • Monthly self examination starting at 25 years of age: Once in a month after completion of menstrual bleeding, it is recommended that you conduct a self examination to rule out any lump, or change in shape of your breast area. Technique should be reviewed by a health professional during physical examination.

    • Clinical breast examination is recommended every 3 years after one turns 25

    • Clinical Breast Examination with mammography yearly after the age of 40 years.

     

     

     

    Overweight kids in Delhi-NCR are more
    prone to diabetes: ASSOCHAM study

     

    Thesynergyonline Health Bureau

     

     
    NEW DELHI, NOVEMBER 12 :
    "Flavor factories churn out chemical desire. We spray, squirt, and inject hundreds of millions of pounds of those chemicals on food every year, and then we find ourselves surprised and alarmed that people keep eating. We have become so talented at soaking our food in fakeness that the leading cause of preventable death - smoking - bears a troubling resemblance to the second leading cause of preventable death - obesity."
    ― Mark Schatzker, The Dorito Effect: The Surprising New Truth About Food and Flavor


    Obesity is not a disease. It is a lifestyle affliction. It is a symptom. It is a side-effect of poor habits and it can be reversed."
    ― Nancy S. Mure, Eat! Empower. Adjust. Triumph!: Lose Ridiculous Weight, Succeed on Any Diet Plan, Bust Through Any Plateau in 3 Empowering Steps!

    And so one in every ten children between the age of 5-16 yrs are overweight and are more prone to diabetic, reasons for rise in childhood diabetes are high calorie diet, junk food, inactivity, less outdoor games and more of indoor games, according to a recent study conducted by ASSOCHAM Health committee council on the occasion of ‘World Diabetic day’ on November 14.
     

     

    Children’s Day coinciding with Diabetes Day has revealed that one in every ten children less than 16 are more prone to diabetes in urban India, reveals the ASSOCHAM study. As per the findings, about 72 per cent urban children don't exercise regularly. Obesity is also a common factor and it has grown over 65 per cent among the children.    

    The study was conducted in private and public school in Delhi, Mumbai, Ahmedabad, Bengaluru, Chennai, Kolkata among 10,000 children. Many children develop lifestyle diseases, due to this drastic change in lifestyle and eating habits is the need of hour to tackle the alarming situation, reveals the ASSOCHAM paper.

     

    Key Findings of ASSOCHAM Study on Diabetes
    •69% Delhi kids are prone to diabetic followed by Mumbai, Ahmedabad, Bengaluru, Chennai
    •The study conducted in private and public schools in cities like Delhi-NCR, Mumbai, Bangalore, Kolkata, Chennai, Ahmedabad, Hyderabad, Pune, Chandigarh, Dehradun
    •Delhi-NCR ranks first followed by Mumbai (2nd), Ahmedabad (3rd), Bangalore (4th)
    Chennai (5th), Hyderabad (6th) and Kolkata (7th)
    • Diabetes is found in persons as young as 10 years.
    •17 million people suffered kidney problems arising out of diabetes "Diabetes and Gene by Prof. Dr. Robert Hess. Diabetes is a common metabolic disease in which lost the proper regulation of blood sugar, it happens because of too much sugar in cells, lack of exercise, etc." - Prof. Dr. Robert Hess
    •About 80 million people suffer from pre-diabetes, and this figure is likely to go up to 125 million by 2035. • Almost 85 per cent of diabetes is related to obesity
    •A meagre 4% of the kids engaged in some form of physical activity •One out of every ten adolescent in India is now overweight and prone to diabetic
    • Long-term effects of diabetes can include blindness, gangrene, renal failure and heart disease •Diabetes is passed that way -- over and down, like a knight in chess." ? Maile Meloy, Both Ways is the Only Way I Want It
     

     

    The recent trend is worrying; children are at a risk of diabetes-related complications such as heart disease, stroke, kidney failure, eye problems, nerve damage, etc. According to a recent study conducted by the ASSOCHAM Healthcare Committee council found that about 69% of Delhi’s children are more prone to diabetic, followed by Mumbai, Ahmedabad, Bengaluru, Chennai, said Mr. D S Rawat, Secretary General ASSOCHAM.
     

    It reveals that about 69 per cent of Delhi kids are prone to this disease, which in the case of Mumbai is estimated at 56% of its total population. In Ahmedabad 49% people are diabetic, in Bangalore 39% while in Chennai the percentage is estimated to be 28%. In Hyderabad and Kolkata, the number of diabetic patients is estimated at 28% and 23% of the total population respectively. Even in rural areas, people are increasingly becoming victims of diabetes.

    Ahead of World Diabetic Day (November 14), the study said there is a fourfold rise in the number of diabetics about 422 million in 2014 and half of them live in India, China, USA, Brazil and Indonesia. Developing countries become more vulnerable because of lack of knowledge especially in rural areas, adds the report.
     

    Releasing the study, Dr. B K Rao, Chairman of ASSOCHAM Health Committee council said, Diabetes in children is generally attributed to bad eating habits, with nutritious meals being replaced with fast foods, coupled with physical inactivity. Stress is also another factor that leads to increase in diabetes cases.
     

    Dr. Rao further said, Urban kids are suffering from Type-I diabetes range in the age group of 6 months to 18 years and some are even getting four insulin shots a day. Kids suffering from diabetics are getting it genetically.

    The study suggests that timely screening and early identification of the disease can help the victim take immediate steps and improve the quality of life. To enable this, ASSOCHAM and its members, under CSR activities are organizing a series of free medical camps in Delhi with PSRI hospital, where comprehensive check-up, counselling, diet plan and information on diabetes management is being made available to participants.
     

    As per the findings, Delhiites consume high amount of oil/ghee/butter in various cooked products. This has evidently increased the number of obesity and hypertension cases, giving a rise to number of diabetics.
     

    ASSOCHAM Health committee warns that uncontrolled diabetes can affect various parts of the body which include blood vessels, heart, kidney, eye, food and nerves, and therefore advises adequate preventive measures need to be adopted to further control the spread of diabetics among Indian populace.

    There are an estimated 80 million people in India who are suffering from pre-diabetes. The pre-diabetes is a condition in which the patients have high blood glucose level but are not in the diabetes range. These people are at high risk of getting diabetes.

    Factors responsible: • Family history with diabetes • Overweight • Sedentary lifestyle • Weighing 9 pounds ormore during birth

    Tips for parents:

    • Help your child be active • Make healthy meals and snacks • Limit portion of foods high in fat, sugar and salt • Limit your child's access to computer, smart phones and TV to 2 hours per day • Be a good role model. Eat healthy food and live an active life

     

     

     

    Osteoporosis or brittle bone disease can be prevented by adequate calcium intake and healthy living : Doctors

     

    Thesynergyonline Health Bureau

    World Osteoporosis Day

    Click To Play

     
     "Every bone in my body yearns to keep this boy safe, always." - Marie Lu, The Midnight Star'

    DARBHANGA, NOVEMBER 09 :
    "I sometimes think about old tombs and weeds
    That interwreathe among the bones of kings
    With cold and poisonous berry and black flower:
    Or ruminate upon the skulls of steeds
    Frailer than shells and on those luminous wings -
    The shoulder blades of Princes of fled power,
    Which now the unrecorded sandstorms grind
    Into so wraith-like a translucency
    Of tissue-thin and aqueous bone

    - A Reverie of Bone"
    ― Mervyn Peake, Shapes And Sounds

     

    A 'silent killer', osteoporosis is the cause of most bone fractures in the elderly. However, it must not be considered a normal or unavoidable part of ageing. Brittle bone disease, as it is called, can be avoided by adopting a healthy lifestyle, including sufficient intake of calcium, adequate physical activity, and shunning habits like smoking and drinking.

     

    As we observe World Osteoporosis Day, doctors at Paras Global Hospital, Darbhanga say the incidence of osteoporosis are increasing due to factors like reduction in the levels of daily physical exercise, low level of sun exposure and excessive smoking and drinking.

     

     

    "Osteoporosis is often called a 'silent killer' because it usually progresses without any symptoms until a fracture occurs or one or more vertebrae (bones in the spine) collapse. Collapsed vertebrae may first be felt or seen when a person develops severe back pain, loss of height, or spine malformations such as a stooped or hunched posture."

     

     

    Bones affected by osteoporosis may become so fragile that fractures occur spontaneously or as the result of minor bumps, falls, or normal stresses and strains such as bending, lifting, or even coughing," says Dr.Hasib Iqbal Kamali(Consultant-Ortho & Joint Replacement Surgeon).

    Osteoporosis occurs when the rate of your bone loss becomes greater than the rate of one creation. The rate of bone loss increases in all adults after the age of 30. In women, this rate further increases after menopause. However, by ensuring a good intake of calcium and vitamin D this bone loss can be arrested.
    A recent meta-analysis (acknowledged by WHO) concludes that roughly one in eight hip fractures can be attributed to cigarette smoking. Besides, in case of a bone injury, a person who smokes is more likely to have a longer period of recovery and greater risk of complication, say doctors.

     

    "Osteoporosis may be linked to multiple risk factors. Smoking is an important factor depleting bone health in women today. Smoking during the years of bone-building puts you at risk of osteoporosis in later stage. Smokers are unable to absorb calcium efficiently from their diet. Also, the healing rate of fractured bones is much lower in people who smoke. Similarly, alcoholism is another cause of osteoporosis in some people," says Dr Abhishek Sarraf(Consultant- Ortho & Spine Surgeon).


    Osteoporosis can also result from bone loss that may accompany a wide range of disease conditions, eating disorders, and certain medications and medical treatments. For instance, osteoporosis may be caused by long-term use of some antiseizure medications (anticonvulsants) and glucocorticoid medications such as prednisone and cortisone. Glucocorticoids are anti-inflammatory drugs used to treat many diseases, including rheumatoid arthritis, lupus, asthma, and Crohn's disease.


    "Lack of physical exercise is another major cause of weak bones. Bones, much like muscles are a living tissue which respond to weight bearing exercise by becoming stronger. People who regularly engage in heavy physical work have stronger bones. Near total mechanization of our lives has drastically reduced the physical labor we engage in in our daily lives. This has to be compensated by regular heavy exercising such as jogging or brisk walking," adds Dr.Hasib Iqbal Kamali.

     

    There are things you should do at any age to prevent weakened bones:


    Calcium: Women over age 50 need 1,200 mg (milligrams) of calcium every day. Men need 1,000 mg between ages 51 and 70 and 1,200 mg after age 70. Foods that are high in calcium are the best source. For example, eat low-fat dairy foods, canned fish with soft bones such as salmon, and some dark-green leafy vegetables. Check the labels on foods like orange juice, breads, and cereals to find those with calcium added.

     


    If you think you aren't getting enough calcium in your diet, check with your doctor first. He or she may tell you to try a calcium supplement.

     

    We are only lightly covered with buttoned cloth; and beneath these pavements are shells, bones and silence. ? Virginia Woolf, The Waves

    • "Osteoporosis is often called a 'silent killer' because it usually progresses without any symptoms until a fracture occurs or one or more vertebrae (bones in the spine) collapse. Collapsed vertebrae may first be felt or seen when a person develops severe back pain, loss of height, or spine malformations such as a stooped or hunched posture. Bones affected by osteoporosis may become so fragile that fractures occur spontaneously or as the result of minor bumps, falls, or normal stresses and strains such as bending, lifting, or even coughing," says Dr.Hasib Iqbal Kamali(Consultant-Ortho & Joint Replacement Surgeon).
    • "Lack of physical exercise is another major cause of weak bones. Bones, much like muscles are a living tissue which respond to weight bearing exercise by becoming stronger. People who regularly engage in heavy physical work have stronger bones. Near total mechanization of our lives has drastically reduced the physical labor we engage in in our daily lives. This has to be compensated by regular heavy exercising such as jogging or brisk walking," adds Dr.Hasib Iqbal Kamali.
      • There are things you should do at any age to prevent weakened bones: Calcium: Women over age 50 need 1,200 mg (milligrams) of calcium every day. Men need 1,000 mg between ages 51 and 70 and 1,200 mg after age 70. Foods that are high in calcium are the best source. For example, eat low-fat dairy foods, canned fish with soft bones such as salmon, and some dark-green leafy vegetables. Check the labels on foods like orange juice, breads, and cereals to find those with calcium added. If you think you aren't getting enough calcium in your diet, check with your doctor first. He or she may tell you to try a calcium supplement.
      • Vitamin D. Your body uses vitamin D to absorb calcium. Most people's bodies are able to make enough vitamin D if they are out in the sun without sunscreen for 10 to 15 minutes at least twice a week. You can also get vitamin D from eggs, fatty fish, and cereal and milk fortified with vitamin D. If you think you are not getting enough vitamin D, check with your doctor. Each day you should have:
        • • 600 IU (International Units) if you are age 51 to 70
        • • 800 IU if you are over age 70
      • Exercise: Weight-bearing exercises, done three to four times a week, are best for preventing osteoporosis. Walking, jogging, playing tennis, and dancing are examples of weight-bearing exercises. Try some strengthening and balance exercises too. They may help you avoid falls, which could cause a broken bone.
    • Lifestyle: People who smoke have an increased chance of breaking a bone. For this and many other health reasons, stop smoking. Limit alcohol. Too much alcohol can put you at risk for falling and breaking a bone.
     



    'I was very surprised when last I bought a packet of cigarettes and had to request a refund as I read a warning that told me "smoking can cause fatal lung cancer". ― Robert Clark


    Smoking,high alcohol consumption
    increasing incidence of osteoporosis

    Thesynergyonline Health Bureau

    "You may tend to get cancer from the thing that makes you want to smoke so much, not from the smoking itself."

     

    GHAZIABAD , NOVEMBER 03 :
    Even if it were possible to cast my horoscope in this one life, and to make an accurate prediction about my future, it would not be possible to 'show' it to me because as soon as I saw it my future would change by definition. This is why Werner Heisenberg's adaptation of the Hays Office—the so-called principle of uncertainty whereby the act of measuring something has the effect of altering the measurement—is of such importance. In my case the difference is often made by publicity. For example, and to boast of one of my few virtues, I used to derive pleasure from giving my time to bright young people who showed promise as writers and who asked for my help. Then some profile of me quoted someone who disclosed that I liked to do this. Then it became something widely said of me, whereupon it became almost impossible for me to go on doing it, because I started to receive far more requests than I could respond to, let alone satisfy. Perception modifies reality: when I abandoned the smoking habit of more than three decades I was given a supposedly helpful pill called Wellbutrin. But as soon as I discovered that this was the brand name for an antidepressant, I tossed the bottle away. There may be successful methods for overcoming the blues but for me they cannot include a capsule that says: 'Fool yourself into happiness, while pretending not to do so.' I should actually want my mind to be strong enough to circumvent such a trick.”
    ― Christopher Hitchens, Hitch-22: A Memoir


    And so 38 years of age, Pratima (name changed) believed she was too young to suffer from low bone density. However, after when she suffered a fracture in her arm after a minor fall, tests revealed she had osteoporosis of the level usually prevalent in women over 60!


    Surprising as it may sound, Pratima is not an exception. A significant number of Indian women, especially in urban areas dwellers with increased risk of fractures are suffering from poor bone health, low bone density, and early onset of osteoporosis.


    Doctors at Columbia Asia Hospitals, Ghaziabad say the incidence of osteoporosis or osteopenia in women under 50 has markedly increased over the past 20 years. Bone loss is a silent condition which generally occurs slowly over a long period. A range of factors make urban Indians prone to early osteoporosis including low intake of dietary calcium, low sun exposure, lack of physical exercise and sedentary lifestyle. Moreover, bad habits like smoking and drinking are spreading like an epidemic in urban women too.

    Smoking had come to be an important punctuation mark in the long sentence of a day on the road." - F. Scott Fitzgerald
    "I know cigarettes can kill & wonder why she wants to die." ? Nick Flynn, Some Ether

    "I was at a dinner party many years ago,sitting along from Tom Stoppard, who in those days smoked not just between courses,but between mouthfuls. An American woman watched in disbelief. "And you so intelligent!" "Excuse me?" said tom "Knowing those things are going to kill you" she said "and still you do it." "How differently I might behave" Tom said, "if immortality were an option"- Stephen Fry, The Fry Chronicles

    "Rather than you smoking a cigarette, the cigarette is really smoking you." ? Anthony Liccione

    "I thought you quit smoking." "Did. For recreational purposes." His father flicked open his Zippo lighter. The smell of the lighter fluid filled the immediate proximity. "This is medicinal." He lit the cigarette, clicked the top of the lighter shut, and closed his eyes as he took in his first drag. "Ah. That feels better." - Dawn Flemington, Hometown Secrets

    "Smoking is suicide by instalments." ? H.M. Forester, Game of Aeons

    Even if it were possible to cast my horoscope in this one life, and to make an accurate prediction about my future, it would not be possible to 'show' it to me because as soon as I saw it my future would change by definition. This is why Werner Heisenberg's adaptation of the Hays Office—the so-called principle of uncertainty whereby the act of measuring something has the effect of altering the measurement—is of such importance. In my case the difference is often made by publicity. For example, and to boast of one of my few virtues, I used to derive pleasure from giving my time to bright young people who showed promise as writers and who asked for my help. Then some profile of me quoted someone who disclosed that I liked to do this. Then it became something widely said of me, whereupon it became almost impossible for me to go on doing it, because I started to receive far more requests than I could respond to, let alone satisfy. Perception modifies reality: when I abandoned the smoking habit of more than three decades I was given a supposedly helpful pill called Wellbutrin. But as soon as I discovered that this was the brand name for an antidepressant, I tossed the bottle away. There may be successful methods for overcoming the blues but for me they cannot include a capsule that says: 'Fool yourself into happiness, while pretending not to do so.' I should actually want my mind to be strong enough to circumvent such a trick." - Christopher Hitchens, Hitch-22: A Memoir

    Tobacco consumption in any form has a series of negative repercussions on health. While increased risk of cancer and cardiovascular disease is the most talked about, we often tend to overlook the ill effect of smoking on the bones. At the same time, alcohol consumption also interferes with calcium and vitamin D absorption in the body.


    “Osteoporosis may be linked to multiple risk factors. Smoking is an important factor depleting bone health in women today. Firstly, the toxic components of smoke upset the hormonal balance in the body, particularly affecting estrogen production. This is a major cause of bone loss. Moreover, smoking women are most of the times unable to absorb calcium efficiently from their diet. The healing rate of fractured bones is much lower in smokers,” says Dr Rajesh Kumar Verma, Columbia Asia Hospital, Ghaziabad.


     “Well, I'm not here to impinge on anybody else's lifestyle. If I'm in a place where I know I'm going to harm somebody's health or somebody asks me to please not smoke, I just go outside and smoke. But I do resent the way the nonsmoking mentality has been imposed on the smoking minority. Because, first of all, in a democracy, minorities do have rights. And, second, the whole pitch about smoking has gone from being a health issue to a moral issue, and when they reduce something to a moral issue, it has no place in any kind of legislation, as far as I'm concerned.”
    - Frank Zappa


    A recent meta-analysis (acknowledged by WHO) concludes that roughly one in eight hip fractures can be attributed to cigarette smoking. Besides, in case of a bone injury, a person who smokes is more likely to have a longer period of recovery and greater risk of complication, say doctors.


    “Smoking during the years of bone-building puts you at risk of osteoporosis in later stage. Smoking after 30 will speed up loss of bone mass almost twice as faster. Your whole body will lose bone mass, but hip, spine, and wrist are the most affected areas in general. The shocking part is inhaling second-hand smoke affects your bones in the same way,” adds Dr. Rajesh Kumar Verma, Columbia Asia Hospital, Ghaziabad.


    While the rate of bone loss increases in both men and women after the age of 30. In women, this process is further accelerated after menopause. Hence, healthy bones are dependent on the development of a strong bone structure during the younger years. Studies suggest that too much alcohol consumption can interfere with bone development and bone remodeling process, resulting in decreased bone density.


    “Excessive alcohol intake also interrupts the absorption of calcium and vitamin D in the bones. It also suppresses osteoblast cells, essential for bone remodeling. Finally, it must be said that chronic heavy drinking especially during early adulthood can dramatically compromise bone quality and increase risk of osteoporosis,” says Dr. Rajesh Kumar Verma, Columbia Asia Hospital, Ghaziabad.
    Clinical evidence suggests a downward shift in the age threshold of osteoporosis in India. However, it is important to note that lifestyle-related factors are all modifiable and can be overcome with a little willpower. If you care for your bone health and overall well-being, give up smoking today and limit your alcohol consumption.
    Understanding Osteoporosis


    Osteoporosis is usually an age-related loss of bone mineral density that makes bones weak and prone to fractures, so that even a mild fall or injury may result in a fracture. However, even younger people may fall prey to brittle bone syndrome if they have insufficient calcium intake or have been smoking or consuming alcohol over a long time. The condition is also common in women who face rapid depletion of bone minerals after menopause.


    Osteoporosis is calculated by comparing the bone mineral density (BMD) of the patient with that of a normal person, as per the criteria set by WHO. As per set criteria, a standardized score called, T-score is used to determine the condition.

    Spoiler: show
    {People with high blood pressure, high cholesterol, heart disease, diabetes or a high blood-sugar level are vulnerable to brain stroke. So are people that are obese, smoke or consume alcohol in large volumes and are physically inactive. In addition, the risk of stroke increases with age, while males are more likely to suffer a stroke than females. }
     

    'Most of the lifestyle-related risks can
    be reduced to prevent brain stroke'

     

    Thesynergyonline Health Bureau



    World Stroke Day

    Click To Play

     

    NEW DELHI, OCTOBER 29 : A 'brain stroke' or a 'brain attack' is an event and condition that many of us know little about, but each one of us has the capacity to prevent and detect , said Dr Poonam Khetrapal Singh WHO Regional Director for South-East Asia, on World Stroke Day.

     

     

    In low-and middle-income countries, which include those of the WHO South-East Asia Region, over 11 million strokes occur every year. This causes 4 million deaths annually, and leaves approximately 30 per cent of survivors seriously disabled. For the 70% of survivors who recover, the likelihood of suffering further strokes is greatly increased.

     

    People with high blood pressure, high cholesterol, heart disease, diabetes or a high blood-sugar level are vulnerable to brain stroke. So are people that are obese, smoke or consume alcohol in large volumes and are physically inactive. In addition, the risk of stroke increases with age, while males are more likely to suffer a stroke than females.

     

    Most of the lifestyle-related risks can be reduced to prevent brain stroke. People who smoke should quit, and those who drink heavily should cease. These two factors alone significantly multiply the likelihood of stroke.

     

    "The nerves of the skin send pain signals to the brain to warn us of the danger from and impending injury. In the case of self-inflicted wounding, this pain acts as the body's own defense mechanism to stop one from proceeding in the effort at physical injury. If a person proceeds despite the pain, that means that he or she is motivated by something stronger than the pain, something that makes him or her capable of ignoring or enduring it."- Steven Levenkron

    A diet high in vegetables and fruit and low in salt should be consumed. Doing so will decrease fatty deposits in the arteries that can cause blockages, as well as diminish the prospect of burst vessels that high blood pressure brings.

    Regular exercise should be undertaken - at least 30 minutes of moderate-intensity aerobic activity at least five times a week.

    Blood pressure, blood-sugar and cholesterol levels should be checked regularly, with associated conditions managed in consultation with a health care provider.

    Identifying stroke's early warning signs is equally important to prevent disability or death. There are three key signs to watch out for - Is the face drooping on one side? Is there weakness in one arm? Is the speech slurred? If the answer is yes to one or all of the above, the person may be having a stroke and needs urgent medical care.

    Most of the lifestyle-related risks can be reduced to prevent brain stroke. People who smoke should quit, and those who drink heavily should cease. These two factors alone significantly multiply the likelihood of stroke.
     

    Identifying stroke's early warning signs is equally important to prevent disability or death. There are three key signs to watch out for - Is the face drooping on one side? Is there weakness in one arm? Is the speech slurred? If the answer is yes to one or all of the above, the person may be having a stroke and needs urgent medical care.

     

    Our health systems must be in a position to act decisively.

     

    On World Stroke Day, we need to spread awareness on stroke prevention, understand the symptoms and when to seek immediate care, and have a well-prepared health system to save lives and prevent lifelong disability.


    Cancer. The word meant the same to me as tsunami or piranha. I had never seen them; I wasn't even quite sure what they were, but I knew they were bad and I knew in many cases they were deadly.- Natalie Palmer, Second Kiss

     

     

    Dr Meenu Walia talks on male breast cancer

    Thesynergyonline Health Bureau
    "Cancer awareness month"

    Click To Play

     
    NEW DELHI, OCTOBER 24 :
    "The really important kind of freedom involves attention, and awareness, and discipline, and effort."

    And so a larger part of audience knows that October is the breast cancer awareness month, an annual campaign to educate people about breast cancer. Breast cancer is the most prevalent form of cancer. This disease has become a major problem all across the world including India.

    On the occasion Oncologist Dr. Meenu Walia, talks about the Male breast cancer.

    What is exactly Male Breast Cancer?

    Male breast cancer which is not very common in Men is characterized by uncontrolled growth of cells, which results in formation of lumps within the breast. It is one of the treatable forms of cancers. If not detected early, it can be a life threatening disease as it can also spread to other parts of the body. The various signs of the Male Breast Cancer are – thickening in the breast tissue, lump increasing in size, Skin covering the breast , occurrence of redness on the breast etc Less than 1 percent of persons with breast cancer are male. After the diagnosis of breast cancer is made, the mortality rates are virtually the same for men and for women. While female breast cancer has received a lot of press attention thanks to its high inci¬dence rate and even celebrities falling vic¬tim - Hollywood actor Angelina Jolie got a preventive double mastectomy done in 2013 on being diagnosed with a defective BRCA1 gene - little is 'known about Male Breast Cancer still. As per studies, one in 30 girls born in India may develop breast cancer during her lifetime. But one in 400 men would also contract the vicious disease. While 83 per cent women are likely to be alive five years after early-stage diagnosis, for men it would be only 73 per cent, thanks to scanty breast fat tissue in males allowing the cancer to spread deep very soon. "What is even lesser known about MBC is that alcohol is one of its risk factors," said Dr Meenu Walia, director of medical oncology at Max Cancer Centre in Patparganj. "A damaged liver is unable to control the level of estrogen (female hormone) in a man's body. This leads to gynaecomastia or enlarged breasts which become cancerous in the long run." Those suffering from cirrhosis or a liver damaged by other ill¬nesses are at an even higher risk.

    mmmmJavaScript accordion example

    Diagnosis and treatment

    The same techniques that are used to diagnose breast cancer in women

    The same techniques that are used to diagnose breast cancer in women are used in men: physical exams, mammography, and biopsies. The same treatments that are used in treating breast cancer in women surgery, radiation, chemotherapy, biological therapy, and hormone therapy - are also used to treat breast cancer in men.

    "Top question of the dying: "What made me sick?" - Steven Magee

    Opinions :

    I have every expectation that cancer will become known as the disease of human evolution trying and failing to adapt to a significantly changed environment." - Steven Magee

    You can include any content you want inside an accordion item. Here's a bullet list:

    • "We normally know we're getting older, when the only thing we want for our birthday, is not to be reminded; unless you're a cancer survivor, then we love being reminded!" - Chris Geiger, The Cancer Survivors Club
    • "I sat in that room and realized that you can cut off a finger, cut off a hand, even cut off a leg, but if you take a woman's breast, you are cutting more than just a body part." ? Charles Martin, Where the River Ends
    • "Love and laughter are two of the most important universal cancer treatments on the planet. Overdose on them." - Tanya Masse

    Depression

    Whenever you read a cancer booklet or website or whatever, they always list depression among the side effects of cancer. But, in fact, depression is not a side effect of cancer. Depression is a side effect of dying." - John Green, The Fault in Our Stars

    "Because there is no glory in illness. There is no meaning to it. There is no honor in dying of." - John Green, The Fault in Our Stars

    Maybe 'Okay' will be our 'always'..." - John Green, The Fault in Our Stars


    "Cancer gave me an understanding of the point of all this. To survive. Most of our lives it is easy but for the moments when it becomes difficult, when accident or sickness or sadness strikes, it's just about remembering one thing. You must simply survive."
    ― Shaun Hick

    "Cancer... the process of creation gone wild, I thought." - Philip K. Dick, Radio Free Albemuth

     

    "Saw a film on cancer yesterday, shown by the English delegation. No doubt about it. I'm right. "Migratory cancer cells" are amoebic formations. They are produced from disintegrating tissue and thus demonstrate the law of tension and charge in its purest form - as does the orgastic convulsion.
    Now money is a must - cancer the main issue - in every respect, even political.
    It was a staggering experience. My intuition is good. I depend on it. Was absolutely driven to buy a microscope. The sight of the cancer cells was exactly as I had previously imagined it, had almost physically felt it would be. Cancer is an autoinfection of the body, of an organ. And researchers have no idea of what, hor, or where!!"
    - Wilhelm Reich, Beyond Psychology: Letters and Journals, 1934-1939

    Finally, "Sickness usually dominates the thoughts of a patient with cancer, but too much preoccupation with illness can have a destructive effect on the mind, and knowing what can happen frequently becomes self-fulfilling. Today, people who are ill will spend hours surfing the internet to find out all they can about their illness – but this isn't always a good thing."
    ― Jennifer Worth, In the Midst o

    Accelerate efforts to end tuberculosis :
    WHO Regional Director, SEARO

     

    Thesynergyonline Health Bureau

     

    "WHO Regional Director, SEARO on tuberculosis"

    Click To Play

     
    NEW DELHI, OCTOBER 14 : "Tuberculosis (TB) remains a serious problem across the WHO South-East Asia Region, and requires the fullest attention and strongest commitment of governments, donors and civil society leaders to be effectively addressed," Dr Poonam Khetrapal Singh WHO Regional Director for South-East Asia

     

    As outlined in WHO's new global report on TB, a number of countries in the Region are among the world's highest TB burden countries, while revised estimates based on increased case-reporting and enhanced surveillance show that the TB caseload is higher than previously projected. TB is the single largest cause of death of any infectious disease in the Region, and remains responsible for incalculable suffering, premature mortality, impoverishment and foregone development.

     

    To get on track to achieve the SDG 2030 target and Global End TB Strategy targets by 2035, which includes reducing TB deaths by 95 per cent and cutting new cases by 90 per cent, countries across the Region must significantly scale up key interventions made in recent years.

    As outlined in WHO's new global report on TB, a number of countries in the Region are among the world's highest TB burden countries, while revised estimates based on increased case-reporting and enhanced surveillance show that the TB caseload is higher than previously projected. TB is the single largest cause of death of any infectious disease in the Region, and remains responsible for incalculable suffering, premature mortality, impoverishment and foregone development.

     


    To get on track to achieve the SDG 2030 target and Global End TB Strategy targets by 2035, which includes reducing TB deaths by 95 per cent and cutting new cases by 90 per cent, countries across the Region must significantly scale up key interventions made in recent years.

    "I know more about Emily Bronte than anyone I know. I know enough about her family to have been a part. I've walked with her on her damp luscious lonely moors, watched her strain to write on miniscule scraps of paper, seen her hide her works from prying eyes. I've brooded alongside her and participated in her taciturnity. Before her death at the ripe old age of 30, I nursed her from the things that ultimately killed her: tuberculosis with a side order of Victorian thinking." - Chila Woychik, On Being a Rat and Other Observations

     
     

    Though countries have been making efforts to end TB and the number of TB deaths and TB incidence rate continues to fall, at the current trend the Region would not be able to achieve the SDG targets. A newer and bolder approach is needed to bend the curve faster and sharper to achieve the global targets.

     

    This means intensifying measures to ensure early diagnosis and treatment, such as active case-finding and enhancing access to cutting-edge diagnostic tools. Adopting newer approaches of case diagnosis, community based treatment and treatment of latent infection. It means integrating TB programmes with existing health systems, thereby amplifying the effect these interventions have. And it also means ensuring these and other interventions meet the needs of vulnerable and marginalized populations, who continue to disproportionately suffer from the disease.

     

    To make this happen, funds must be allocated accordingly, while political commitment must be fortified. Both must occur at national and international levels. Moreover, governments should provide national TB programmes the operating capacity to be agile and responsive in their efforts, while TB control leaders should adapt and apply global TB strategies with care and diligence.

     

    The battle to achieve a Region free of TB with zero death, disease and suffering is both possible and necessary. We can and must make it happen.

    OPINION :
     

    "Sustainable- Nutritious Eating/Living has a Higher Purpose."
    ― Elizabeth Salamanca-Brosig

    US Soybean Export Council , National Institute of Nutrition launch "White Paper on the Soy Nutrition"


    Thesynergyonline Health Bureau

     

    NEW DELHI, OCTOBER 02 :
    "That eating should be foremost about bodily health is a relatively new and, I think, destructive idea-destructive not just the pleasure of eating, which would be bad enough, but paradoxically of our health as well.

    And so To promote the soy-based nutrition in public funded programs food processing industry, health and nutrition professionals academicians, scientists, agriculture experts and the soy food processing industry demanded that the Indian government should introduce soy products in the feeding and social welfare programs which will make a huge impact on reducing malnutrition in our country. This was stated during stakeholders meeting at the launch of a "White Paper on the Soy Nutrition" in Le Meridien, Delhi today by USSEC, Soybean Processors Association of India (SOPA) , Soy Food Promotion & Welfare Association (SFPWA) in coordination with National Institute of Nutrition, Hyderabad.

     


    India suffers from a high burden of malnutrition across the spectrum of age, sex and socio economic background. The Public Distribution system (PDS), Integrated Child Development Services (ICDS) and the mid - day meal (MDM) programmes are some of the programmes that offer ready opportunity to reach the food and nutrition interventions to the under privileged populations. Soybean offers a great potential for developing value added health foods using appropriate processing technologies by the soy food processing industry. soybean can play a vitalrole in improving nutrition status of millions of urban and rural population in India.

    "Sustainable- Nutritious Eating/Living has a Higher Purpose."

     


    Dr Director, India Soy Food Programme, US Soybean Export Council (USSEC) Ratan Sharma, said that soy is an outstanding source of low cost and high quality protein. It has highest protein density among all plant protein sources. Its protein quality is comparable to meat, milk and egg protein quality delivering all essential amino acids in right proportion for different age groups as prescribed by FAO and WHO, and it can be easily added to traditional dishes and cuisines throughout the country.

     

    Everybody is a book of blood; wherever we're opened, we're red."
    ― Clive Barker, Books of Blood: Volumes One to Three

    Untitled Document

    NorthCap University, Gurgaon blood donation picture 1

    NorthCap University, Gurgaon blood donation picture 2

     

     

     

    Efforts

     

    'Scale up efforts against neglected tropical diseases'


    Thesynergyonline Health  Bureau

    COLOMBO, SEPTEMBER 06 : Health ministers of World Health Organisation (WHO) South-East Asia Region on Tuesday reaffirmed their commitment to achieve time-bound targets to control, eliminate and eradicate neglected tropical diseases, which continue to burden marginalized populations.

    "Countries in the Region have made commendable progress in tackling neglected tropical diseases (NTDs) in recent years. India has been formally recognized as being yaws-free while elimination of lymphatic filariasis as a public health problem has been acknowledged in Maldives and Sri Lanka. But efforts must be scaled-up against NTDs if we are to meet our targets," Dr Poonam Khetrapal Singh, Regional Director, WHO South-East Asia Region, said.
    At least one NTD is endemic in each Member country of the WHO South-East Asia Region, while the Region bears the second highest burden of these debilitating infections in the world. The NTDs targeted for elimination in the South-East Asia Region by 2020 include lymphatic filariasis, yaws, leprosy and schistosomiasis, while visceral leishmaniasis, also known as kala-azar, is targeted for elimination by 2017.

    "Like any other disease elimination or eradication programme, as we move towards the last mile of elimination, new issues and challenges are emerging that need to be carefully addressed to keep the elimination process on track. Key to achieving our goals is maintaining political commitment and resource allocation, strengthening surveillance, empowering and involving communities in elimination efforts, and maintaining a targeted approach," Dr Khetrapal Singh said at the Sixty-ninth Regional Committee meeting of WHO South-East Asia Region here.

    The Regional Director expressed WHO's ongoing support to countries striving to lift the NTD burden, pledging the Organization's technical expertise in identifying barriers and finding innovative solutions, facilitating cross-border cooperation, and working with partners to support countries' efforts.

    She also reiterated that NTD control, elimination and eradication efforts are an important part of realizing the Sustainable Development Goal of leaving no one behind and attaining universal health coverage, saying that it was only by extending services to marginalized populations that countries could achieve elimination targets.

    The Regional Committee is WHO South-East Asia Region's highest decision-making body, and includes health ministers and senior health ministry officials of the 11 member countries of the Region – Bangladesh, Bhutan, Democratic People's Republic of Korea, India, Indonesia, Maldives, Myanmar, Nepal, Sri Lanka, Thailand and Timor-Leste.

     

    I don't dawdle. I'm a surgeon. I make an incision, do what needs to be done and sew up the wound. There is a beginning, a middle, and an end. [On writing.] - Richard Saul Selzer . No one has the right to demand that your body be something other than what it is." - Agnostic Zetetic

    How innovating for emerging markets is set to disrupt the global surgical care industry

    Thesynergyonline Health BBUreau

     

    NEW DELHI, AUGUST 17 : "No one has the right to demand that your body be something other than what it is."
    ― Agnostic Zetetic

    And so the growth of emerging markets is poised to transform the delivery of surgical care around the world by 2030, according to a new report. The emphasis will be on affordable technology for early diagnosis; portable modular equipment for minimally invasive and robotic surgery; and smart systems incorporating low-cost sensors and mobile technology to track clinical outcomes and improve team-based surgery.

    The report summarises the findings of a workshop held in Boston earlier this year by product design and development firm Cambridge Consultants. It offers unique insight into the future of emerging markets surgical care – as seen through the eyes of industry leaders. And it looks at how these new approaches to healthcare will extend beyond emerging markets to disrupt and transform how affordable quality surgical care is delivered globally.

     

     

    "Lincoln on Grant: "He makes things get. Wherever he is, he makes things move."
    ― Abraham Lincoln

    Almost 5 million workers reached
    under ILO HIV initiative

    Thesynergyonline Health Bureau


    The initial phase of voluntary counselling and testing for workers—the VCT@WORK Initiative— shows encouraging results; and demonstrates that workplaces are "uniquely" placed to reduce the HIV testing gap.

    DURBAN : An ILO report issued ahead of the International AIDS Conference in Durban , shows the Organization's VCT@WORK Initiative reached close to 5 million workers with face to face education on the benefits of HIV and AIDS testing in its initial phase. Following the outreach, between July 2013 and December 2015, almost 3 million workers were HIV tested; and over 85,000 found HIV positive were referred for treatment.

    The ILO, UNAIDS and partners will be presenting the results of the initiative at several sessions during the AIDS Conference in Durban next week.

    Welcoming the findings Director-General of the ILO, Guy Ryder said: "For the first time, we have results that clearly demonstrate the impact of a workplace response to HIV and AIDS. When workers have timely knowledge of their HIV status, they can take the right treatment and continue to be healthy and productive members of the workforce."

    "The workplace offers a unique opportunity to expand HIV testing services," he added.

    The initiative, launched by the ILO and UNAIDS at the International Labour Conference in 2013, was implemented in 34 countries through strategic partnerships and alliances formed between the key world of work actors, the private sector, networks of people living with HIV and national AIDS programmes.

    "This is the kind of innovation needed to reach people with HIV services in their everyday lives," said Michel Sidibé, Executive Director of UNAIDS. "This is the Fast-Track response in action - normalizing testing and ensuring more people know their HIV status and are linked with local care and support."

    Around 60 per cent of the beneficiaries were men, confirming that workplaces have a huge potential to engage the male population, which is considered more difficult to reach with HIV information, testing, counselling and treatment.

    Furthermore, 62 per cent of those reached with HIV information accessed HIV testing services. The figure demonstrates the efficacy of the communications effort on workplace behaviour change put in place by the ILO and its partners .

    The success of the programme was aided by its implementation in workplaces which had a commitment to non-discrimination through HIV and AIDS workplace policy. This approach made workers comfortable that they will not lose their jobs, irrespective of the results; and that they will be receive all possible treatment, care and support in case they are HIV positive.

    A strong communication strategy supported the Initiative and the ILO's Getting to Zero at Work campaign provided a solid basis for the implementation of the VCT@WORK Initiative. Communicating 'the benefits of testing early' helped convince workers to take the HIV test. Similarly, involving business and union leaders as well as celebrities was also found to be very effective.

    As it stands, close to half of the people living with HIV are not aware of their status.

    Building on the programme's initial success, the ILO plans to scale up the VCT@WORK initiative to help accelerate the global AIDS response over the next five years. As such, it will be a significant contribution to the 90-90-90 targets as per the new UNAIDS strategy: 90 per cent of all people living with HIV will know their HIV status, 90 per cent of all people with diagnosed HIV infection will receive sustained antiretroviral therapy, and 90 per cent of all people receiving antiretroviral therapy will have viral suppression, by the year 2021.

    OPINIONTATIVELY : [-]
    "People who end up with the good jobs are the proactive ones who are solutions to problems, not problems themselves, who seize the initiative to do whatever is necessary, consistent with correct principles, to get the job done."
     

     

    No. of yoga practitioners soars by up
    to 30% across metros in India: Survey

    Thesynergyonline Health Bureau
     

    NEW DELHI, JUE 20: Students, stressed-out young professionals, CEOs and retirees have embraced yoga in large numbers as gymnasiums across metros have seen a spurt in yoga practitioners willing to attain health and toning benefits of this ancient system of exercise and spiritual development, according to an ASSOCHAM survey-cum-analysis.

    "There has been a spurt in number of people that have taken up yoga by up to 30 per cent, most of whom have been inspired by many celebrities and media attention that it has garnered," noted a survey on 'Yoga or Gym,' conducted by the ASSOCHAM Social Development Foundation in 10 metros - Ahmedabad, Bengaluru, Chennai, Delhi-NCR, Hyderabad, Indore, Jaipur, Kolkata, Lucknow and Mumbai.

    ASSOCHAM representatives interacted with 100 gym trainers/fitness professionals and about 1,000 people sweating it out at the gymnasiums across the aforesaid cities to ascertain which is a better workout regime.

    The survey was conducted during the course of past two months in wake of the International Day of Yoga celebrated globally on June 21.

    Majority of the gym trainers said that there has been an increase in number of female clients by over 50 per cent since they began conducting yoga sessions at their gymnasium and in general the number of yoga practitioners has fuelled by about 25-30 per cent during the course of past one year.

    On being asked which is a better workout regime, about 25 per cent gym regulars said they had switched to yoga after first few sessions owing to increased flexibility, toning, strengthening and other such benefits of meditation and breathing exercises, noted the ASSOCHAM survey.

    Besides, many even said that yoga has helped them fight everything from addiction and lower back pain to diabetes and aging, in addition to boosting overall well-being and stress relief.

    Additional benefits like improved digestion and concentration together with less of fatigue and tiredness has helped people in performing better at work and some even said that they no longer feel guilty if at all they skip going to gym by a day or two as yoga can be practised at home and even at office.

    However, majority of gym trainers advised to combine yoga and gym sessions to get desired results of physical benefits and mental stimulation.

    "Yoga has grown in India from an ancient spiritual practice to big business and premium lifestyle, considering that there are an estimated four crore yoga practitioners across the country spending about Rs 1,000 crore on designer yoga-wear, mats, towels, luxury retreats thereby promoting the fitness industry," said Mr D.S. Rawat, secretary general of ASSOCHAM while releasing the findings of the ASSOCHAM survey.

    "Yoga which can be traced back roughly 5,000 years, is a tradition that has stood the test of time, more so in a world of exercise trends and diet fads," said Mr Rawat.

    "One of the key reasons for increased popularity of yoga is that of late it has developed as a panacea for the ailments of modern society — tech overload, disconnection and alienation, insomnia, stress and anxiety," he added.

    "The sudden boom of interest in yoga will fuel the demand for getting more trained yoga instructors, yoga studios and gymnesiums across India in the coming future," further said Mr Rawat.

    Yoga also holds significant potential to boost both domestic and foreign travellers' inflow, especially in places like Rishikesh and others to become certified yoga instructors’, demand of whom is likely to surge in wake of the growing popularity as yoga goes mainstream, highlighted the ASSOCHAM survey-cum-analysis.

     

    International Yoga Day
     

    Yoga session slideshow

    "Don't wait for life to happen; life is happening now!" ? Kathryn E. Livingston, Yin, Yang, Yogini: A Woman's Quest for Balance, Strength, and Inner Peace

    Companies are adding yoga at workplaces to boost productivity: Survey

    Click to hide. Click to show/hide. Yoga

    Thesynergyonline Health Bureau

    NEW DELHI, JUNE 19 : "Who will not be delighted to behold the exotic scenery and flora of the barren lands of Himalayas. Similar is the power of Yog which beautifies the deserted life and fructifies hope in the shattered hearts. By taking refuge in Yog, the fallow mind will blossom into flowers indeed."
    - Acharya Balkrishna, Yog: In Synergy with Medical Science
     

    Pelican in yoga posture  
     

     

    And so over 53 per cent of the corporate companies are opting for yoga sessions in workplace to boost productivity, reduce sick days, increase mental clarity, combat fatigue, improve memory, fight stress and increase workplace satisfaction, an ASSOCHAM paper coinciding with the "International Yoga Day" (June 21) noted.

    As per the ASSOCHAM recent estimates, there is about a 35 percent annual increase in demand for yoga learning in India with a growing publicity and health awareness. This demand trend will accelerate further to become multi-billion dollar market in the form of health clinics, ayurveda resorts, holiday camps, corporate training etc, conducted by The Associated Chambers of Commerce and Industry of India (ASSOCHAM) paper on "International Yoga Day".

    "The Stone of Guilt in the River of the Mind, the block in the flow of intelligence. ~ Paramahamsa Nithyananda" ? Paramahamsa Nithyananda, Living Enlightenment

    "Emotional baggage,"

    "Emotional baggage," which is carried over from the past, colors our perceptions. Likewise, past conclusions and beliefs, based on reasoning that may or may not have been accurate, also tint our perception of reality. Retaining our capacity for reason is common sense, but definite conclusions and beliefs keep us from seeing life as it really is at any given moment. Emotional reactions can be unreasonable, and reason can be flawed. It's difficult to have deep confidence in either one, especially when they're often at war with each other. But the universal mind exists in the instant, in a moment beyond time, and it sees the universe as it literally is. It's the universe perceiving itself. It is, moreover, something we can have absolute confidence in, and with that confidence, we can maintain a genuinely positive attitude." - H.E. Davey, Japanese Yoga: The Way of Dynamic Meditation

    "It is true that the subliminal in man is the largest part of his nature and has in it the secret of the unseeen dynamisms which explain his surface activities. But the lower vital subconscious which is all that this psycho-analysis of Freud seems to know, - and of that it knows only a few ill-lit corners, - is no more than a restricted and very inferior portion of the subliminal whole... to begin by opening up the lower subconscious, risking to raise up all that is foul or obscure in it, is to go out of one's way to invite trouble." ? Sri Aurobindo, Integral Yoga: Teaching and Method of Practice

    "The undiscovered is not far away. It's not something to be found eventually. It is contained within what is right in front of us. The essence of reality is being born right now. It has never existed before. Reality is constant creation and destruction, and in this constant change is something unborn and undying, something that cannot be approached through the known or the past. It isn't seen through striving to become something based on ideals stemming from former experiences. It comes to that which is being, not striving. In this state of being in the moment, without the known, without knowing at all, with neither past nor future, is a space that is not filled with time. And in this space, the undiscovered and ever-changing moment exists—a moment containing all possibilities, the totality of existence, absolute reality. Reality is now, and in the now, we can experience the true nature of the universe and the universal mind." ? H.E. Davey

    Time-honored everyday activities

    "In Japan, a number of time-honored everyday activities (such as making tea, arranging flowers, and writing) have traditionally been deeply examined by their proponents. Students study how to make tea, perform martial arts, or write with a brush in the most skillful way possible to express themselves with maximum efficiency and minimum strain. Through this efficient, adroit, and creative performance, they arrive at art. But if they continue to delve even more deeply into their art, they discover principles that are truly universal, principles relating to life itself. Then, the art of brush writing becomes shodo—the "Way of the brush"—while the art of arranging flowers is elevated to the status of kado—the "Way of flowers." Through these Ways or Do forms, the Japanese have sought to realize the Way of living itself. They have approached the universal through the particular." - H.E. Davey, Japanese Yoga: The Way of Dynamic Meditation

    "Memorizing someone else's explanation of the truth isn't the same as seeing the truth for yourself. It is what it is—the memorization of second-hand knowledge. It is not your experience. It is not your knowledge. And no matter how much material is learned by rote, and no matter how eloquently we can speak about the memorized information, we're clinging to a description of something that's not ours. What's more, the description is never the item itself. By holding onto our impression of certain descriptions, we frequently are unable to see the real thing when it's right before our eyes. We are conditioned by memorizing and believing concepts—the truth of which we've never genuinely seen for ourselves." - H.E. Davey, Japanese Yoga: The Way of Dynamic Meditation

    Why they always look so serious in Yoga?

    "Why they always look so serious in Yoga? You make serious face like this, you scare away good energy. To meditate, only you must smile. Smile with face, smile with mind, and good energy will come to you and clean away dirty energy. Even smile in your liver. Practice tonight at hotel. Not to hurry, not to try too hard. Too serious, you make you sick. You can calling the good energy with a smile. (From Ketut Liyer, the Balinese healer)" - Elizabeth Gilbert

    "If Samkhya-Yoga philosophy does not explain the reason and origin of the strange partnership between the spirit and experience, at least tries to explain the nature of their association, to define the character of their mutual relations. These are not real relationships, in the true sense of the word, such as exist for example between external objects and perceptions. The true relations imply, in effect, change and plurality, however, here we have some rules essentially opposed to the nature of spirit. "States of consciousness" are only products of prakriti and can have no kind of relation with Spirit the latter, by its very essence, being above all experience. However and for SamPhya and Yoga this is the key to the paradoxical situation the most subtle, most transparent part of mental life, that is, intelligence (buddhi) in its mode of pure luminosity (sattva), has a specific quality that of reflecting Spirit. Comprehension of the external world is possible only by virtue of this reflection of purusha in intelligence. But the Self is not corrupted by this reflection and does not lose its ontological modalities (impassibility, eternity, etc.). The Yoga-sutras (II, 20) say in substance: seeing (drashtri; i.e., purusha) is absolute consciousness ("sight par excellence") and, while remaining pure, it knows cognitions (it "looks at the ideas that are presented to it"). Vyasa interprets: Spirit is reflected in intelligence (buddhi), but is neither like it nor different from it. It is not like intelligence because intelligence is modified by knowledge of objects, which knowledge is ever-changing whereas purusha commands uninterrupted knowledge, in some sort it is knowledge. On the other hand, purusha is not completely different from buddhi, for, although it is pure, it knows knowledge. Patanjali employs a different image to define the relationship between Spirit and intelligence: just as a flower is reflected in a crystal, intelligence reflects purusha. But only ignorance can attribute to the crystal the qualities of the flower (form, dimensions, colors). When the object (the flower) moves, its image moves in the crystal, though the latter remains motionless. It is an illusion to believe that Spirit is dynamic because mental experience is so. In reality, there is here only an illusory relation (upadhi) owing to a "sympathetic correspondence" (yogyata) between the Self and intelligence." ? Mircea Eliade, Yoga: Immortality and Freedom

    "Life is made up of a collection of moments that are not ours to keep

    "Life is made up of a collection of moments that are not ours to keep. The pain we encounter throughout our days spent on this earth comes from the illusion that some moments can be held onto. Clinging to people and experiences that were never ours in the first place is what causes us to miss out on the beauty of the miracle that is the now. All of this is yours, yet none of it is. How could it be? Look around you. Everything is fleeting. To love and let go, love and let go, love and let go...it's the single most important thing we can learn in this lifetime." - Rachel Brathen

    "Memorizing someone else's explanation of the truth isn't the same as seeing the truth for yourself. It is what it is—the memorization of second-hand knowledge. It is not your experience. It is not your knowledge. And no matter how much material is learned by rote, and no matter how eloquently we can speak about the memorized information, we're clinging to a description of something that's not ours. What's more, the description is never the item itself. By holding onto our impression of certain descriptions, we frequently are unable to see the real thing when it's right before our eyes. We are conditioned by memorizing and believing concepts—the truth of which we've never genuinely seen for ourselves." - H.E. Davey, Japanese Yoga: The Way of Dynamic Meditation

    Yoga talks about cat-pose, dog-pose, camel-pose, monkey-pose, bird-pose etc

    "Yoga talks about cat-pose, dog-pose, camel-pose, monkey-pose, bird-pose etc. Why there are so many animal poses? Animals release their emotions and tensions by movements based on their body sensations. But our amygdala in the brain is carrying the "fight or flight response"; it has forgotten the art of releasing the tensions. As human beings, when we are aware about the sensations, we can release that by aware, slow movements. If you do not give movements to the body parts, energy will be stuck and blood circulation will be disturbed. Gradually, that creates chronic physical and mental health problems." ? Amit Ray, Yoga and Vipassana: An Integrated Life Style

    "Some students are in a hurry to begin "real" pranayama. They go right to the later stages without first laying a quality foundation, and their practice often suffers. First find out what is. This is also part of the answer to the question Who am I?" - Richard Rosen, The Yoga of Breath: A Step-by-Step Guide to Pranayama

    "Self and intelligence."

    "Kundalini means, according to Zeena 'She Who is Hidden,' and points to the dormant goddess in every human being's body. While the kundalini force is found in muladharachakra, she hypnotizes humans, like maya herself, and renders them slaves to the illusory. Kundalini can only awaken people if she travels up along the spine.' --About Zeena Schreck by Malin Fitger 'Contemporary notions of Kundalini, its background and role within new Western religiosity,' University of Stockholm, 2004" ? Zeena Schreck, Demons of the Flesh: The Complete Guide to Left Hand Path Sex Magic

    Nakamura Tempu Sensei viewed the mind as a segment of the body that could not be seen and the body as the element of the mind that was observable. He also likened the mind and body to a stream, with the mind as the source flowing down to the body. Whatever we drop in the stream will be carried down by the current. In like manner, our thoughts will influence the body and our well being." ? H.E. Davey Yoga talks about cat-pose, dog-pose, camel-pose, monkey-pose, bird-pose etc. Why there are so many animal poses? Animals release their emotions and tensions by movements based on their body sensations. But our amygdala in the brain is carrying the "fight or flight response"; it has forgotten the art of releasing the tensions. As human beings, when we are aware about the sensations, we can release that by aware, slow movements. If you do not give movements to the body parts, energy will be stuck and blood circulation will be disturbed. Gradually, that creates chronic physical and mental health problems." ? Amit Ray, Yoga and Vipassana: An Integrated Life Style

    A positive attitude is most easily arrived at

    ""…When you're in the darkness, know that the light will come. We are light and dark, sun and moon, male and female, yin and yang; life is composed of opposites, in a continuing cycle of change…. When you are in the light, don't step back into the darkness. Live in that light, and breathe it in fully. I've spent so much of my life going over and over the sadness and fear of the past. But we don't need to go there when we're not there. When we are in the light, be here, now." ? Kathryn E. Livingston, Yin, Yang, Yogini: A Woman's Quest for Balance, Strength, and Inner Peace

    A positive attitude is most easily arrived at through a deliberate and rational analysis of what's required to manifest unwavering positive thought patterns. First, reflect on the actual, present condition of your mind. In other words, is the mind positive or not? We've all met individuals who perceive themselves as positive people but don't appear as such. Since the mind is both invisible and intangible, it's therefore easier to see the accurate characteristics of the mind through a person's words, deeds, and posture. For example, if we say, "It's absolutely freezing today! I'll probably catch a cold before the end of the day!" then our words expose a negative attitude. But if we say, "The temperature is very cold" (a simple statement of fact), then our expressions, and therefore attitude, are not negative. Sustaining an alert state in which self-awareness becomes possible gives us a chance to discover the origins of negativity. In doing so, we also have an opportunity to arrive at a state of positiveness, so that our words and deeds are also positive, making others feel comfortable, cheerful, and inspired." - H.E. Davey .

    Possessing strength and stillness is a sign of balance: power and serenity combined in one moment

    "Possessing strength and stillness is a sign of balance: power and serenity combined in one moment. It's challenging enough to hold either one, let alone both, in perfect equipoise, but that is the goal if we want to be balanced." - Sebastian Pole, Discovering the True You with Ayurveda: How to Nourish, Rejuvenate, and Transform Your Life

    "Some students are in a hurry to begin "real" pranayama. They go right to the later stages without first laying a quality foundation, and their practice often suffers. First find out what is. This is also part of the answer to the question Who am I?" - Richard Rosen, The Yoga of Breath: A Step-by-Step Guide to Pranayama

    Maybe it's something to do with the movements

    Maybe it's something to do with the movements: the Cat and then the Cow, the twist to the left and then to the right, the reaching up, and then bending to the ground, the constant training of the body to move one way, and then to move in the opposite way. Hatha: sun, moon opposites, dark and light, yin and yang. This must be key in the way yoga shapes the mind and heart, in the way it helps one to understand that every movement has a counter movement, that every action has an opposing action, that the happy parts of life will be met by the sad, and the sad, in turn will be met by the happy." - Kathryn E. Livingston, Yin, Yang, Yogini: A Woman's Quest for Balance, Strength, and Inner Peace

    "...You see I believe in that stuff to: yoga and mystical powers. I once knew a man who could kill himself on command. Can you believe that? . . . Why do you laugh? . . . Believe it! By will of his own mind, he could make his heart stop beating for good' My neighbor poised and looked seriously at me, searching in my eyes. '...You laugh!' he repeated once more… 'You laugh, but he was a master at it! He could commit suicide at his own will!' Indeed, hearty laughter streamed through my nose. 'Could he do it perpetually?' I asked. 'Perpetually...?' My neighbor rubbed his waxy chin. 'I mean, is he still able to do it?' 'I'm not sure I understand.' 'Well? Then is he dead…?!' My neighbor's puzzled face slowly began to transform into a look of realization. 'But sir,' he said, 'Of course he's dead! I mean to say... this man could kill himself on command, you see. And you don't come back from the dead!' The two of us found ourselves crossing to the door so I could let my visitor out. I slapped him with friendliness on the shoulder. 'No, you don't come back from the dead,' I agreed." - Roman Payne

     

    The number of employee from the corporate world who seek yoga classes have gone up by about 35-40 per cent this year compared with last year (20 per cent), said Dr. B K Rao, Chairman of ASSOCHAM Health Committee Council. Many B-Schools are also taking the lead from corporate to have compulsory yoga modules to minimize the stress of the candidates.

    According to the findings, nearly 53 per cent of corporate companies are participating in yoga sessions in their offices as stress management activities and many individuals are also opting for personalized yoga classes at home. The corporate industry is looking to promote healthier practices for their employees to boost productivity, adds the survey.

    Increasingly demanding schedules and high stress levels are leading to depression or general anxiety disorders in individual lives and have wide ranging effects like daytime fatigue, physical discomfort, psychological stress, performance deterioration and increased absenteeism. Almost 60 to 65 per cent of executives are suffering from stress-related diseases, said Mr. D S Rawat, Secretary General ASSOCHAM while releasing the survey.

    ASSOCHAM co-chairman of Health Committee Council Dr H K Chopra said, "Yoga helps people to think clearly, sharpens intelligence, improves learning ability, helps cope with problems and produces better job performance". Having yoga in the workplace offers a convenient way for employees to have a balanced life and to fit a workout in, without having to leave the premises.

    As per ASSOCHAM's corporate employees' survey result, around 45.5 per cent of the sample population are suffering from depression or general anxiety. Obesity is the second hard hit disease that was observed among the respondents, with 23 per cent of the sample corporate employees suffering from obesity alone can modify occupational morbidity, mortality and injury risks that can further affect workplace absence, disability, productivity and healthcare costs. High blood pressure (B.P) and diabetes are the third and fourth largest disease with a share of 9 per cent and 8 per cent respectively as suffered among the corporate employees. Spondolysis (5.5 per cent), heart disease (4 per cent), cervical (3.0 per cent), asthma (2.5 per cent), slip disk (1 per cent) and arthritis (1.5 per cent) are the diseases that are mostly suffered by corporate employees.

    The following statistics are sad and shocking, nearly 40.5% of corporate employees sleep less than 6 hours in a day due to high stressed levels that arise out of tough targets set for themselves by employers and cause diseases like depression, hypertension, sugar etc.,
    The demand for yoga instructors has increased in the last one year. The increase in awareness on yoga is helping the market grow. In India, a yoga instructor, can earn between Rs. 30,000 to Rs. 60,000 a month, adds the paper.

    Yoga is not only the greatest stress buster, but it is also an effective therapy option. It prevents and cures diseases and promotes general good health as it imparts mental, spiritual, and physical well being, said Dr. Rao.

    As per the findings, Yoga sessions are introduced for an hour daily, from Monday to Friday, or for three days a week, depending on the employees' requirements. The benefits of a workplace wellness program, improve presenteeism, Control/reduces escalating health care costs, improve productivity, increases employee loyalty and reduces attrition rate, employees leading healthy lifestyles tend to take lower sick leaves with improved work performance and increased productivity that reduces overall costs of the organisation.

    The report is based on the views of 1,500 corporate employees from 250 companies across 18 broad sectors like media, telecom and knowledge process outsourcing (KPO) etc

    The report included the major cities like Delhi-NCR, Mumbai, Bangalore, Kolkata, Chennai, Ahmedabad, Hyderabd, Pune, Chandigarh, Dehradun etc. A little over 200 employee were selected from each city on an average.


    Around 55 per cent of the survey respondents' fall under the age bracket of 20-29 years, followed by 30-39 years (26 per cent), 40-49 years (16 per cent), 50-59 years (2 per cent) and 60-69 years (approximately 1 per cent). The survey was able to target corporate employees from 18 broad sectors, with maximum share contributed by employees from IT/ITes sector (17 per cent).

    Employees working in engineering and telecom sector contributed 9 per cent and 8 per cent respectively in the questionnaire. Nearly 6 per cent of the employees belonged from market research/KPO and media background each. Management, FMCG and Infrastructure sector employees share is 5 per cent each, in the total survey. Respondents from power and real estate sector contributed 4 per cent each. Employees from education and food & beverages sector provided a share of 3 per cent each. Advertising, manufacturing and textiles employees offered a share of 2 per cent each in the survey results.

    Finally, the very heart of yoga practice is abhyasa – steady effort in the direction you want to go [-]
    The aim of yoga is to eliminate the control that material nature exerts over the human spirit, to rediscover through introspective practice what the poet T.S. Eliot called "the still point of the turning world." ~Barbara Stoler Miller
     

    "A lion of truth never assumes anything without validity. Assumptions are quick exits for lazy minds that like to graze out in the fields without bother."
    - Suzy Kassem, Rise Up and Salute the Sun: The Writings of Suzy Kassem

    Thailand is first country in Asia to eliminate mother-to-child transmission of HIV and syphilis

    Thesynergyonline Heath Bureau

    NEW DELHI/BANKOK, JUNE 08 :
    A not uncommon practice was to associate nationality with a particular disease, often sexually transmitted. For example, the English called syphilis "The French Disease"; the French called it "The Italian Disease"; the Italians called it "The Turkish Disease"; the Russians called it "The Polish Disease"; and both the Japanese and the Indians termed it "The Portuguese Disease." Only the Spanish accepted any blame, referring to it as "The Spanish Disease."
    - Daniel N. Leeson, Opus Ultimum: The Story of the Mozart Requiem

    And so Thailand on Wednesday received validation from World Health Organisation (WHO) for having eliminated mother-to-child transmission of HIV and syphilis, becoming the first country in Asia and the Pacific region and also the first with a large HIV epidemic to ensure an AIDS-free generation.

    The Minister of Health of Thailand was presented with the certificate of validation at a ceremony which took place in New York on the eve of the United Nations General-Assembly High-Level Meeting on Ending AIDS.

    "This is a remarkable achievement for a country where thousands of people live with HIV. Thailand's unwavering commitment to core public health principles has made elimination of mother-to-child transmission of HIV and syphilis a reality, a critical step for rolling back the HIV epidemic. Thailand has demonstrated to the world that HIV can be defeated," Dr Poonam Khetrapal Singh, Regional Director, WHO South-East Asia Region, said presenting the certificate of validation to Thailand in New York.

    "Thailand has turned around its epidemic and transformed the lives of thousands of women and children affected by HIV," said UNAIDS Executive Director, Michel Sidibé. "Thailand's progress shows how much can be achieved when science and medicine are underpinned by sustained political commitment."

    "By investing in strong maternal and child health care and national AIDS prevention measures, Thailand has demonstrated there are ways to protect children from the global AIDS pandemic response," said Karin Hulshof, Regional Director, UNICEF East Asia-Pacific Region. "Thailand's achievement inspires its neighbours to greater action. There are still 21,000 infants who are born with HIV each year in the Asia-Pacific region, and more than 200,000 children who are growing up with HIV."

    Untreated, women living with HIV have a 15-45 per cent chance of transmitting the virus to their children during pregnancy, labour, delivery or breastfeeding. However, that risk drops to just over 1 per cent if antiretroviral medicines are given to both mothers and children throughout the stages when infection can occur.

    According to Thailand's Ministry of Public Health 98 per cent of all pregnant women living with HIV have access to antiretroviral therapy and the rate of mother-to-child transmission of HIV has been reduced to less than 2 per cent. In 2000, an estimated 1000 children became infected with HIV. In 2015, the number of children who became infected with HIV through mother to child transmission was reduced to 85, a decline of more than 90 per cent, a significant achievement in a country where an estimated 450 000 people were living with HIV in 2014.

    At the same time, sustained efforts and success in preventing new HIV infections have helped reduce HIV among women of childbearing age. According to Thailand's health authorities, between 2000 and 2014, the annual number of women newly infected with HIV fell from 15 000 to 1 900 – a 87 per cent reduction. Thailand's Universal Health Coverage framework ensured essential health services were available to both rich and poor. The country's commitment to equitable access has ensured that both Thai citizens and migrants are covered for HIV treatment.

    Thailand's commitment to the UNAIDS-led 'Global Plan towards the elimination of new HIV Infections among children by 2015 and keeping their mothers alive', combined with the Government's decision to provide all pregnant women – including documented and undocumented migrant workers – free antenatal care, delivery and services for HIV and syphilis pushed treatment coverage rates up, culminating in validation of elimination of mother-to-child transmission.

    Thailand's pioneering success and leadership demonstrates how countries can make real change when good policy is followed up with high-level commitment. WHO, UNAIDS and UNICEF will continue to work with other countries in the region, along with partners to replicate Thailand's success.

    VALIDATION [-]
    Everybody is looking for validation, no matter who you are, and I think that's a need of the human condition - to look for affection or recognition or validation.- Alejandro Gonzalez Inarritu
     

    "The physician must be able to tell the antecedents, know the present, and foretell the future — must mediate these things, and have two special objects in view with regard to disease, namely, to do good or to do no harm."
    - Hippocrates

    Maldives and Sri Lanka eliminate lymphatic filariasis


    Thesynergyonline Health Bureau

    NEW DELHI, JUNE 03 : In a significant progress against neglected tropical diseases in WHO South-East Asia Region, Maldives and Sri Lanka have eliminated lymphatic filariasis, a disease that was crippling people for decades, forcing them to lead a life of stigma, discrimination and poverty.

    "The achievement by Maldives and Sri Lanka demonstrates the resolve of these countries and the Region as a whole to eliminate all neglected tropical diseases, which have no reason to continue and mar the lives of people," Dr Poonam Khretrapal Singh, Regional Director, WHO South-East Asia Region, said.

    The success in Maldives and Sri Lanka follows intensified mosquito control efforts; treatment of the infected population, disability prevention and control; strengthening of surveillance; and closely monitoring and evaluating these efforts which together helped eliminate lymphatic filariasis (LF) as a public health problem.

    "The neglected tropical disease (NTD) is typically of the 'neglected' population, the poor and the marginalised. By eliminating this NTD as a public health problem, Maldives and Sri Lanka have shown the way for reaching these populations with other health interventions, much needed to improve their overall health," DrKhetrapal Singh said.

    Eliminating NTDs is also critical to sustainable development goals which emphasises on 'no one being left behind'.

    "Maldives is committed to enhancing health and wellbeing of its population. Achieving the goal of eliminating lymphatic filariasis, as a public health problem, has been possible with tireless efforts of hundreds of health workers across the island nation," MsIruthisham Adam, Minister of Health, Maldives, said.

    "Lymphatic filariasis elimination as a public health problem in Sri Lanka is a major public health success which has been possible with our strong commitment, dedication of our health workforce and active participation and support of the community," DrRajithaSenaratne, Minister of Health, Sri Lanka, said.

    Lymphatic filariasis (LF) is believed to have been endemic in Maldives since 12th and 13th century and is traced back to much earlier in Sri Lanka, with the mosquitos transmitting the bug found in abundance across the two countries.

    Commonly known as elephantiasis, LF occurs when filarial parasites are transmitted to humans through mosquito bites. Infection is usually acquired in childhood and the painful and profoundly disfiguring visible manifestations appear much later in life, often in the form of elephantiasis which causes permanent disability. These patients suffer the disease and also suffer mental, social and financial losses contributing to stigma and poverty.

    In 2012, the WHO neglected tropical diseases roadmap set the year 2020 as a target for achieving elimination of lymphatic filariasis as a public health problem. For LF elimination, WHO's strategy is based on two key components - stopping the spread of infection through large-scale annual treatment of entire populations at risk in an area or region where infection is present; and alleviating the suffering caused by lymphatic filariasis through increased disease management and disability prevention measures.
    In the South-East Asia Region, WHO has been prioritising finishing the task of eliminating diseases on the verge of elimination. Following Maldives and Sri Lanka's success, LF endemic countries working towards elimination is now reduced to seven in the region.

    "the wretcheder one is, the more one smokes; and the more one smokes, the wretcheder one gets—a vicious circle."
    ― George du Maurier, Peter Ibbetson

    Tobacco related diseases preventable, but still leading cause of deaths worldwide : Dr. Meenu Walia

    Thesynergyonline Health Bureau

    Dr Meenu Walia Director of Medical Oncology department Max Super Speciality Hospital (2)

    NEW DELHI, JUNE 01 : Tobacco use is the leading cause of preventable illness and death in the United States. Consuming any type of tobacco puts you on a collision course with cancer. Smoking has been linked to various types of cancer - including cancer of the lung, mouth, throat, larynx, pancreas, bladder, cervix and kidney. Smokeless tobacco has been linked to cancer of the oral cavity and pancreas. Even if you don't consume tobacco, exposure to second-hand smoke might increase your risk of lung cancer, and many other serious health problems.

    Dr. Meenu Walia, Senior Medical Oncologist & Cancer Specialist, says, "The tobacco problem in India is peculiar, with consumption in a variety of smokeless and smoking forms. Men use more smoked tobacco, women are more likely to use smokeless (chewed) tobacco, and beedis are smoked more than cigarettes."

    There are many facts to the tobacco problem in India. Tobacco related diseases are preventable, but are still a leading cause of deaths worldwide. The WHO (World Health Organization) says that every year, nearly six million people die because of tobacco use (that is about 10% of all deaths) and 0.6 million of these occur in non-smokers due to second-hand smoke. India is the second largest consumer of tobacco globally and accounts for approximately one-sixth of the world's tobacco-related deaths.

    Tobacco use is a major risk factor for heart attacks, strokes, chronic obstructive pulmonary diseases, apart from peripheral vascular disease and hypertension. Second-hand smoke (SHS) has also been shown to cause adverse health effects in people of all ages. SHS is three to four times more toxic per gram than mainstream tobacco smoke. It kills 6,00,000 people each year and in India, 52 per cent of adults are exposed to SHS at home. The toxic chemicals from SHS cling to rugs, curtains, clothes, food, furniture and other materials even in the presence of windows, air filters. They coat the surfaces of rooms, materials and smokers belonging, and are sometimes referred as third-hand smoke.

    "Overtime, a person becomes physically and emotionally addicted to the nicotine found in tobacco. This physical dependence causes unpleasant withdrawal symptoms when one tries to quit. Studies have shown that to quit and stick to it, smokers must deal with both the physical and mental dependence. No matter how old one is, and how long one has smoked, quitting will definitely help you live longer and become healthier. To get started, you can enrol in an anti-smoking support program. Hospitals, health departments, centres and work sites often offer programs," Dr. Walia adds.

    If you don't feel ready to stop smoking completely, your GP may suggest a method of quitting known as nicotine-assisted reduction to stop. This involves using NRT to cut down before you eventually stop smoking. An electronic cigarette (e-cigarette) is a device that allows you to inhale nicotine without m  

    "Change in dietary habits from traditional to western, increasing intake of processed/ preserved/packaged foods and decreasing consumption of raw vegetables and fruits are factors that are being recognized as probable risk factors.

    "Do I fear death? No, I am not afraid of being dead because there's nothing to be afraid of, I won't know it. I fear dying, of dying I feel a sense of waste about it and I fear a sordid death, where I am incapacitated or imbecilic at the end which isn't something to be afraid of, it's something to be terrified of."- Christopher Hitchens

    Another hazardous factor is dangerous industrial and environmental toxicants that are rampant in our air and water bodies and find their way into our fruits and vegetables. Excessive use of pesticides also pollutes fruits and vegetables, as does the use of chemicals that is used for artificial ripening of the fruits and vegetables," adds Dr Mukhopadhyay, explaining the probable causes for rising incidence of cancers.

    "Maybe you should say goodbye, Cal.'
    'No.'
    'It might be important.'
    'It might make her die."
    ― Jenny Downham, Before I Die

    Consumption of packaged foods has been a regular practice of lifestyles in the west where incidence of colorectal cancers has traditionally been high. Increasing urbanization and convenience is prompting more and more Indians today to adopt western lifestyles. Eating lots of red or processed meat increases the risk of bowel cancer, stomach and pancreatic cancers. Another reason for the rise in cancer incidence is the high consumption of alcohol, smoking and tobacco.

    "Lack of awareness is one of the leading challenges faced by India in fighting cancer. A majority of diagnoses in India happen in advanced stages (stages 3 or 4) unlike the West where regular screenings have ensured that most cases are diagnosed in early stages and treated. Delay in diagnosis often means that a treatable disease becomes untreatable. Many people, especially in rural areas, tend to see local medical practitioners who might lack sufficient knowledge of the disease," says Dr. Mukhopadhyay.

    "But all that is warm will go cold. My ears will fall off and my eyes will melt. My mouth will be clamped shut. My lips will turn to glue."
    ...No taste or smell or touch or sound.Nothing to look at. Total emptiness for ever."
    ― Jenny Downham, Before I Die

    According to the World Cancer Report 2014, commissioned by the International Agency for Research on Cancer (IARC), WHO's research body, cancers figure among the leading causes of mortality worldwide, with approximately 14 million new cases and 8.2 million cancer related deaths in 2012. While the 5 most common cancers among men in 2012 were lung, prostate, colorectum, stomach, and liver cancer; among women the 5 most common sites diagnosed were breast, colorectum, lung, cervix, and stomach cancer. A study has revealed that in 2007 Kolkata had topped the metros in new lung cancer cases.

    "Indian cities and urban centres have witnessed major lifestyle and behavioral shifts including greater independence of women and their increased participation in professional fields. This has helped delay marriages, pregnancies, reduced the number of pregnancies as well as duration of breast feeding while increasing consumption of oral contraceptives. At the same time, a turn towards sedentary lifestyles, increased obesity, smoking and drinking are all factors that contribute to increasing risk of breast cancer among women," says Dr Mukhopadhyay. It is estimated that by 2030 the number of new cases of breast cancer in India will reach just under 2,00,000 per year.

    What is scary is the estimate that cases are expected to rise by about 70 per cent over the next 2 decades, something that calls for urgent attention on prevention and lifestyle modification. It is predicted that by the end of 2020, over 10 million people would die globally each year because of cancers with 70 per cent deaths from the developing countries only. WHO believes that around one third of cancer deaths are due to the 5 leading behavioral and dietary risks which are High body mass index; Low fruit and vegetable intake; Lack of physical activity; Tobacco consumption; Alcohol intake.

    A sedentary lifestyle that includes lack of exercise, eating junk foods, inadvertent use of chemicals in foods can increase the risk of cancer. Keeping a healthy body weight can help reduce the risk of bowel, breast (postmenopausal), kidney, womb, esophageal, pancreatic and gall bladder cancers. Therefore, adopting such as regular exercise, eating food on time, intake of nutritious food, quitting habits like smoking and alcohol can help in preventing cancer.

    Without belief, we would be left with nothing but an overwhelming doom, every single day. And it will beat you. I didn't fully see, until the cancer, how we fight every day against the creeping negatives of the world, how we struggle daily against the slow lapping of cynicism. Dispiritedness and disappointment, these were the real perils of life, not some sudden illness or cataclysmic millennium doomsday. I knew now why people fear cancer: because it is a slow and inevitable death, it is the very definition of cynicism and loss of spirit.

    So, I believed."
    ― Lance Armstrong, It's Not About the Bike: My Journey Back to Life

    Finally, "An ounce of cancer prevention is worth a ton of cancer cure."
    ― Robert A. Wascher, A Cancer Prevention Guide for the Human Race

    Wellness Slideshow

     

    SCOPE holds wellness programme for PSUs

    Thesynergyonline Health Bureau

    L to R : Dr H.K. Chopra, president, World Wellness Foundation, Dr U D Choubey, Director General, SCOPE, Dr Shikha Sharma, Managing Director, Nutri Health, Dr S Malik, Professor, Deptt of Oncology, AIIMS and Dr Astha Sharma, Psychiatrist  

    NEW DELHI, JANUARY 27 : "We are living in times that demand more and more of our brains and muscles, of our nerves and physical energy. Only those who are strong and know how to keep it so, can stand the wear and tear. It pays to stop once in a while to look over our machinery and oil the parts that need it."- Adrian Peter Schmidt

    And so Standing Conference of Public Enterprises (SCOPE), World Wellness Foundation and Expressions India jointly organized an interactive session on Mind Wellness and Happiness at Workplace with focus on heart protection and cancer prevention for the benefit of employees of public sector enterprises.

    While welcoming, Dr U.D. Choubey, Director General, SCOPE said that employees of PSUs are working in a global competitive environment and undergo a lot of stress and strain in performing their day-to-day duties. This causes hypertension, diabetes and lifestyle related problems which lead to a number of health problems.

    He urged the employees to adopt a healthy and disciplined lifestyle to combat stress in the fast changing environment.

    Dr Choubey told that wellness, recognition and limelight are only one part of life whereas the most important part covers health. Therefore, PSUs employees must learn the art and science of healthy living which Wellness programme addresses.

    Dr. H.K. Chopra, President, World Wellness Foundation, said that 80-90% of diseases are caused by the faulty lifestyle at workplace. Heart attack, brain attack, hypertension, cancer, obesity, asthma, depression, liver diseases, migraine etc. are all linked to negative stress with poor cooping capabilities at workplace, he added.

    Eminent doctors of cardiology, oncology, mental health and nutrition also addressed the programme.

    "Because there is no glory in illness. There is no meaning to it. There is no honor in dying of." - John Green, The Fault in Our Stars

    Lung cancer incidence increasing alarmingly in India; catching non-smokers too

    Thesynergyonline Health Burau

    NEW DELHI, JANUARY 06 :
    "Death straps me to the hospital bed, claws its way onto my chest and sits there.I didn't know it would hurt this much. I didn't know that everything good that's ever happened in my life would be emptied out by it." - Jenny Downham, Before I Die

    And so lung cancer is the leading cause of cancer-related deaths across the world, characterized by low survival rates and aggressive malignancies. While lung cancer was considered uncommon in India till the last decade, its numbers have risen alarmingly in recent years, with a large number of non-smokers also falling prey to the deadly disease.

    Dr Chanchal Goswami, Chief Co-ordinator, Oncology Services, Medica Superspeciality Hospital, Kolkata says it is highly important to educate people about the disease, the need to minimize risk factors and ensure early seeking of medical attention in case of symptoms like persistent cough accompanied by weight loss and fever.

    "The past few years have witnessed a spike in numbers of lung cancer patients in India. The incidence has risen at an alarming rate of up to 15 per cent over the past decade. While there is no clear evidence of the exact cause of this rise, we take into account high prevalence of smoking aided by factors such as increasing environmental pollution and increasing exposure to chemical substances as the plausible causes," says Dr Chanchal Goswami.

    Another trend characteristic to India is the disease's prevalence in relatively younger men and women as compared to western countries. While the average age of lung cancer patients in the west is the mid 60s, in India this is much lower. In fact a lot of patients are being diagnosed in their early 50s.

    "Unfortunately, late diagnosis remains a norm rather than exception in India where people often hesitate to visit doctors. The disease is also marked by low survival rates, unlike other cancers whose survival rates have increased in recent years due to better treatment modalities," adds Dr Goswami.

    Of equal pertinence is the steady increase in numbers of non-smokers falling prey to lung cancer, once considered an exclusive ailment of smoke addicts. A large share of non-smoking patients are women who might have had exposure to second hand smoke all their lives at home or even no exposure at all in some cases.

    "This does not mean that smoking is any less harmful. While 90% of the risk for lung cancer is attributable to exposure to smoke – both direct and passive – other factors do seem to play an increasing role too. These include exposure to carcinogens like arsenic, pesticides, asbestos and harmful particulate material floating in the smoky and deadly air of our highly polluted cities," opines Dr Goswami.

    Smoking doesn't just harm the smoker himself. It harms the environment around him, causing many people to inhale the dangerous fumes emanating from his cigarette butt. At the same time, long-term smoking may also cause some kind of genetic mutation that can be inherited by the next generation, making the person highly susceptible to lung cancer. So, while you as a smoker may be lucky and not suffer from lung cancer, your child may inherit the mutated smokers' gene from you and may go on to suffer from the deadly disease even while being a non-smoker himself/herself.

    Ban on public smoking, and pictorial warnings have been the right measures initiated in recent years in India. More steps are needed to nail home the point among youngsters that smoking is 'NOT COOL'. Unfortunately, even as mass campaigns are being initiated against cigarette smoking, the repackaging and revival of the hookah culture among urban Indians is a worrying trend. The mushrooming of hookah parlors and bars across our urban landscape neutralizes all successes made against the cigarette. There is also a note of concern for increasing number of young urban woman taking to smoking.

    Apart from taking radical steps to reduce prevalence of smoking – cigarettes, cigars as well as hookahs, steps also need to be taken to improve diagnosis and early intervention.
    Due to rampant prevalence of tuberculosis in India, cases of lung cancer often get mistaken for tuberculosis and even treated for the same in initial days. Most lung cancer cases are detected in late stages by the time it is too late for treatment and cure.

    "With symptoms such as fever, cough, weight loss and anorexia common to both tuberculosis and lung cancer, it is equally important for both patients and medical practitioners to stay alert to other indicators such as age of patient, history of smoking, or hoarseness in the voice. These indicators can point to the possibility of lung cancer early and ensure timely treatment," informs Dr Goswami.

    How to Minimize Risk:

    Slide Down || Slide Up
    Say No to Smoking: Survival rates of lung cancer patients remain low in India as also across the world. Most lung cancers in India are aggressive and progress fast. In such circumstances, minimizing risk remains the main option. And quitting smoke – all kinds of smoke be it cigarette, hookah or cigars -- is the primary risk reducing method. Reduce exposure to polluted air: Wear masks on the roads to minimize inhaling of dangerous chemicals and particulate material. Also, select low pollution phases of the day such as early morning for activities like walking and exercising outdoor. Keep Alert for Symptoms: Early diagnosis can go a long way in saving or prolonging life of patients. Symptoms such as shortness of breath accompanied by fever, cough, bronchitis or hoarseness of voice should never be ignored. In India these symptoms are often mistaken and treated for tuberculosis. This calls for greater alertness and awareness. The dog (Canis lupus familiaris) is a domesticated subspecies of the wolf, a mammal of the Canidae family of the order Carnivora. The term encompasses both feral and pet varieties and is also sometimes used to describe wild canids of other subspecies or species. The domestic dog has been one of the most widely kept working and companion animals in human history, as well as being a food source in some cultures.

     

     

    "We progress a step farther, in each tick of the clock"
    ― Ronnie Cornelisz

    Progress towards Family planning goals significant but needs to pick up pace

    THesynergyonline Health Bureau



    NEW DELHI, DECEMBER 28 :
    More number of women around the world now have access to modern contraceptive method however this progress is slow on keeping pace with the projections made at the 2012 London summit on family planning.

    According to the 'FP2020 Commitment to Action 2014–2015' Progress Report, although an additional 24.4 million women and girls now have access to modern methods of contraception, this is 10 million fewer than the benchmark for 2015 projected at the time of the 2012 London Summit.

    Progress


    "We progress a step farther, in each tick of the clock" ― Ronnie Cornelisz
     

    There is an increasing concern that India, one of the 69 FP2020 focus countries committed to FP 2020 goals, has to catch up on accelerating the modern contraceptive prevalence rate (a measure of the percentage of women who are practicing, or whose sexual partners are practicing, any form of modern contraception) that would benefit millions of women and girls who have never had access before, including the poorest, the most vulnerable, and the hardest to reach. Apart from India, nine other countries that need to increase modern contraceptive rates include Pakistan and Philippines which are home to 50% of the women of reproductive age across the FP2020 focus countries.

    As per the progress report, in the last year alone, 80 million unintended pregnancies were prevented, 26.8 million unsafe abortions were averted, and 111,000 women's and girls' lives were saved due to usage of modern, effective methods of family planning.
    The total global family planning expenditure is approximately US$12 per modern contraceptive user per year. Almost half of expenditures occur in just five countries— Indonesia, India, Pakistan, Egypt, and Bangladesh—and these five countries account for 70% of modern contraceptive users among the FP2020 focus countries.

    In April 2015 the FP2020 Reference Group convened for a milestone meeting in New Delhi, India. After reviewing the progress of the initiative to date and assessing the need to fast-track efforts, the Reference Group urged partners to reinvigorate their FP2020 commitments with more ambitious objectives and innovative, practical strategies to meet them.

    India has since then taken a major step in the right direction by approving injectable contraceptives for use in the public health system. This landmark decision expands the basket of choice for millions of Indian women, who will now have access to one of the world's most popular and effective contraceptive methods.

    In continuation with the vision of expanding the basket of choice, a number of new contraceptive methods is being planned to be introduced. Large scale pilots in India, Zambia, Malawi and Madagascar, will introduce four new product lines: a contraceptive gel, new barrier methods, a hormonal intrauterine system (IUS), and intravaginal rings (IVR). Most of these methods are woman-initiated, and each of them has key benefits that address women's concerns.

    As per Ms Poonam Muttreja, Reference group member FP2020 and Executive Director Population Foundation of India, "To achieve the FP2020 goal, India must increase the number of users of modern methods of contraception so that a greater proportion of all women and girls of reproductive age are served. Offering more types of modern methods in family planning programs will result in higher percentages of contraceptive use. Each additional 1% point increase in the modern contraceptive prevalence rate can translate to 3.3 million additional women and help achieve FP2020's goal and enable 120 million more women and girls to use contraceptives by 2020.

    "Objection, evasion, joyous distrust, and love of irony are signs of health; everything absolute belongs to pathology." - Friedrich Nietzsche, Beyond Good and Evil 

    4 new IT-based initiatives for
    citizen-centric health services

    Thesynergyonline Health Bureau

    Health tips:

     

    NEW DELHI, DECEMBER 26 :
    "[G]rowing into your future with health and grace and beauty doesn't have to take all your time. It rather requires a dedication to caring for yourself as if you were rare and precious, which you are, and regarding all life around you as equally so, which it is. (267-268)"
    ― Victoria Moran, Younger by the Day: 365 Ways to Rejuvenate Your Body and Revitalize Your Spirit

    And so Mr J P Nadda, Union Minister for Health & Family Welfare announced four new IT-based initiatives on Good Governance Day, to mark the birth anniversary of Bharat Ratna Shri Madan Mohan Malaviya and birthday of Bharat Ratna Shri Atal Bihari Vajpayee, here today. He was speaking at the launch of the AIIMS OPD Transformation Project which envisages the use of IT to provide ease to patients and citizens while accessing services at AIIMS. This is being supported by the Tata Consultancy services as part of their Corporate Social Responsibility ( CSR) initiative.

    Enumerating the first of the initiatives, the Health Minister announced 'Kilkari'. A major IT initiative, Kilkari is an audio-based mobile service that delivers weekly audio messages to families about pregnancy, child birth and child care. Each pregnant woman and infant's mother, registered in Mother and Child Tracking System (MCTS), a web- enabled name-based system to monitor and ensure delivery of full spectrum of services to all pregnant women and children, would receive weekly voice messages relevant to the stage of pregnancy or age of the infant. The 72 messages would reach the targeted beneficiaries from the 4th month of pregnancy until the child is one year old. On an average, the duration of each message is two minutes.

    Such messages will empower and educate women and parents to help create a better environment in maternal and child health. This service will be provided free to the beneficiaries. In the first phase of implementation, such messages would be sent to the pregnant women and infants' mothers in six States in Jharkhand, Odisha, Uttar Pradesh, Uttarakhand, and HPDs of Madhya Pradesh and Rajasthan. They are being developed in Hindi, English and Odiya languages in the first phase, to be later expanded to other languages to cover the entire country and would benefit over 2 crore pregnant women and 2 crore infants, annually. Dr. Anup K Pujari, Secretary, Ministry of MSME announced that Indian MSMEs are increasingly becoming more vibrant, which has resulted in their increasing share to the country's GDP, employment and productivity. He said that the Government is constantly working towards further enhancing the capabilities of the Indian SME sector. He added that the true victory of policy makers in the SME space will be to see these enterprises' transition from small to large enterprises. The Ministry of MSME is prepared to work towards this goal with support from various stakeholders.

    The Health Minister also stated that a new mobile-based application, Mobile Academy, has been developed through which about 9000,000 ASHAs will be trained using mobile services. This will aid in enhancing their inter-personal skills. Once registered, ASHAs can access the 240-minute course via their mobile phones. They can then complete the standardized course at their convenience. Digital bookmarking technology enables ASHAs to complete the course at their own pace. The course is divided into eleven chapters each containing four lessons. There is a quiz at the end of each chapter. ASHAs successfully completing the course by securing more than minimum prescribed marks will receive a Certificate of completion from the Government.

    As continuation of the Ministry's new IT-based initiatives, Mr Nadda informed about making the Revised National TB Control Programme (RNTCP) more patient-centric. A dedicated toll free number, 1 8 0 0 - 1 1 – 6 6 6 6, with a call centre is being started to provide round the clock support for patient counselling and treatment support services. This call centre will have trained personnel to provide feedback to patients and also link or refer chest symptomatic persons to RNTCP services. Under this initiative, callers can give a missed call or call to get complete support for diagnosis, treatment and support for the completion of treatment on the national toll free number, the Minister informed. This initiative is being started in the States of Punjab, Haryana, Chandigarh and Delhi.

    Mr Nadda also announced 'M-Cessation'. This will be an IT-enabled tool to help tobacco users to quit tobacco. Built on a helpline concept, it will register beneficiaries on the basis of a missed call. The counselling would be done through a two-way SMS process, the Minister informed.

     

    "Amongst all the virtues, high awareness is the most precious one!"

    'Patient Awareness Meet' on Nov 29 on
    arthritis and joint related problems"

    Thesyergyonline Health Bureau

    NEW DELHI, NOVEMBER 27 :
    " The aware do not die;
    The unaware are as though dead already."
    ― Anonymous, The Dhammapada

    Arthritis and wear and tear of joints may be unavoidable as we grow older, but with little steps, precaution and some remedial measures it is possible to retain movement and maintain good quality of life. This was the message sent by a unique 'Patient Awareness Forum' conducted by Dr Rajeev K Sharma, Senior Consultant, Joint Replacement, Indraprastha Apollo Hospital, New Delhi.

    The 'Joint Patients Forum' is a unique initiative that brings together patients, doctors and people who have undergone joint replacement procedures to discuss their concerns, share their successes and clarify their doubts with experts.

    The Forum has been organized to mark 6000 successful joint replacement procedures conducted by Dr Sharma. The doctor will hold an open house with people suffering from joint ailments and offer his expert advice to them on how not to allow joint ailments hijack your life.

    The forum will also be attended by patients going through the recovery phase of a joint replacement surgery and will get a chance to share their experiences with others while seeking doctors' advice on how to manage their body post a replacement surgery.

    Dr Sharma, the man behind the idea of the awareness meet, says this platform is an effort to advise patients who are suffering from joint ailments and help those who have undergone joint replacement surgeries live as normal a life as possible.

    "Osteoarthritis or age-related wear and tear of joints is inevitable. In some people it happens faster, in fortunate ones it happens relatively slowly. We want to educate people that with healthy lifestyle, weight control and regular exercise this wear and tear can be slowed down. Arthritic joints should not mean an end to productive life. Sometimes arthritis can be managed with medication and lifestyle changes, but when symptoms do not improve with nor-surgical interventions, joint replacement surgery should be considered seriously," says Dr Sharma.

    A team of doctors and physiotherapists will give lectures on exercise regimen, facts about arthritis, the right diet to follow, and about taking care of muscles and ligaments to keep joints fit. The forum is also open to people who are interested in seeking advice on how to maintain a healthy lifestyle to prevent joint-related problems.

    Mr Rajpal, Economic Advisor, Ministry of Power and Mr C. J. Jose, Director, Ministry of Power receiving award from Mr Arun Jaitley, Union Minister of Finance, Corporate Affairs and Information and Broadcasting.

    5-day traditional Himalayan healers,
    astro experts' meet begins


    Thesynergyonline Health Bureau

     

     


    NEW DELHI, OCTOBER 23 :
    A 5-day conference and exhibition titled Tibetan Medical System and Astro-Science with a theme "Awakening the Sanctity of Life: Healing Mind, Healing Body," hosted by Tibet House, the cultural Centre His Holiness the Dalai Lama opened here on Friday.

    The programme on world's oldest known healing and astro science is being jointly organised by Tibet House, the Cultural Centre of His Holiness the Dalai Lama, and Tibetan Medical and Astro. Institute (TMAI), Dharamsala. The venue for it is Tibet House, Cultural Centre of H H the Dalai Lama, 1 Institutional Area, Lodhi Road, New Delhi 110003. The conference and exhibition was inaugurated by the Prof. Lokesh Chandra, president Indian Council for Cultural Relations (ICCR)

    "The integration of modern science with Buddhist science, astrology and all other sources of knowledge could have a huge impact in finding sources of treatments to common mental disorders. Tibetan Buddhism has a very deep and varied knowledge of psychology. These findings can be placed in front of the scientists to be experimented whether Buddhist findings are accurate or not." said Prof Lokesh Chandra,President ICCR. While Inaugurating the Five day Conference and Exhibition here today.

    "Interest in traditional medicines like Tibetan and Ayurveda are renewing and growing exponentially due to the adverse drug reactions and economic burden associated with modern system of medicine. Integration of Tibetan traditional medicine with ayurveda and allopathy, especially in the treatment of lifestyle diseases and post operative care receive more attention In recent times, the interest in tradional medicines has led to Scientists researching and evaluating herbs. Doctors are integrating ayurveda and yoga into mainstream allopathic medicine, giving rise to 'Integrative Medicine', a new approach to medicine and healthcare that rests on building synergies between traditional and modern medicine." Said Prof Lokesh.

    "The five day exhibition on Budhist traditional medicine and astro science is being organised In a bid to preserve and showcase the rich dynamic medical heritage of the world and promote awareness about the. The five day program shall include guest lectures, a seminar with experts from various medical traditions, exhibitions and workshops, the creation of a Medicine Buddha sand mandala, cultural shows and screenings, The major highlight shall be free health and Astrology consultancy by experts and Tibetan food stalls . The programme will also serve as a platform for medical diagnosis and the sale of herbal medical products." Said Geshe Dorji Damdul, Director Tibet house, New Delhi.

    "The three main objectives of the conference are to explore the various methods of improving mental health, to exchange the ideas of different approaches and identify the common aim in the context of improving the human psychology by bringing the different religious and mental systems together on one platform," said Damdul.

    "The Tibetan medical system is one of the world's oldest known medical traditions. It is more than 2500 years old and It is an integral part of Tibetan culture and has been developed through many centuries. Tibetan medicine is known for treating digestive, cardiovascular, and rheumatoid ailments. The importance of this system has been recognised by the Government of India. It has passed legislation in the Parliament to bring this rich Tibetan medical tradition into the country's streams of practice, as a distinct medical system." "" said Mr Tashi Tsering Puri, , Director Development Manager Men-Tsee-Khang, Dharmasala

    "The Tibetan medical system is very close to the heart of His Holiness the 14th Dalai Lama, as one of the treasures of the ancient wisdom culture of Tibet.

    He emphatically advises the Tibetan medical institutions to be actively engaged in undertaking research and in bringing forth innovative ways of improving upon this ancient system of healing. Such encouragement has led to the tremendous development of Tibetan Medical and Astro. Institute's (TMAI) Department of Pharmacy, to create more medicines and herbal products. "" said Mr. Tashi Tsering Puri

    World Arthritis Day' 2015: 'It's
    in your hands, take actions'

    '


    Thesynrgyonline Health Bureau

     

    GURGAON, OCTOBER 12 :

    Rahul, a 14-year-old boy from a very poor family of Bihar suffered from chronic pain and inflammation of the joints, making his life extremely difficult and restricting him to a wheelchair. After doctors in his native failed to detect the cause of his disease, he was brought to Paras Hospital, Gurgaon where his condition was diagnosed as Juvenile Inflammatory Arthritis.

    After treatment at Paras hospitals, Rahul is now able to walk and plays like any other children of his age and leads an independent life.

    When we think about Arthritis, the usual reference is to the age-related wear and tear of the joints that afflicts almost all the elderly people. However, there are other more pernicious, though rarer forms of Arthritis that needs urgent attention and awareness.

    "Arthritis is often associated with old age and sometimes even neglected as an inevitable outcome of advancing age. The age-related wear and tear of joints is known as osteoarthritis. Though osteoarthritis is the predominant form of arthritis, it is not the only form.

    Unfortunately, there is glaring lack of awareness in India about other types of arthritis, some of which can afflict younger people. For example, Juvenile Inflammatory Arthritis is a rare auto-immune disorder that afflicts young children, and causes inflammation and pain in the joints. If left untreated, it can cause debilitating disability," said Dr. Indrajit Agrawal, Head, Department of Rheumatology, Paras Hospital, Gurgaon.

    On World Arthritis Day, Paras Hospital, Gurgaon highlighted some rare and difficult forms of the disease like Rahul's which are very less talked about in our country. The good part is that most forms of the disease can be managed and controlled with timely medical intervention and patients can resume almost normal lifestyles with some care and caution provided the patient seek an early intervention with Rheumatologists.

    30 year old, Michela is living with Spondyloarthropathy, a type of arthritis that attacks the spine as well as joints of arms and legs. In some people, it may also affect the skin, eyes and the intestines. The main symptom of the disease is low back pain which can be confused with a wide range of other disorders. This sometimes causes a delay in diagnosis. This condition mostly afflicts teenagers and young adults.

    Relapsing Seronegative Symmetrical Synovitis with Pitting Edema is another rare arthritic condition that is most common in the elderly. This condition is characterized by inflammation and swelling of peripheral joints such as wrists and ankles symmetrically. Mrs. Suresh Khurana, 74 years old suffers from this disorder was also present at the press conference and discussed her condition.

    There are more than 200 different types of arthritis and some of which like Rheumatoid Arthritis, Psoriatic Arthritis, Ankylosing spondylitis can be devastating and crippling for the patients. However with the modern treatments including Biologics patients can be treated very successfully. But, it is important to seek medical intervention as soon as symptoms arise.

    "Wherever the art of Medicine is loved, there is also a love of Humanity. " - Hippocrates

    5-day programme to promote
    Tibetan medicine from Oct 23
     

    Thesynergyonline Health Bureau

     

     

    NEW DELHI, OCTOBER 10 :
    In order to preserve and showcase the rich dynamic medical heritage of the world and promote awareness about the Tibetan Medical System and Astro-Science, a 5-day program on: "Awakening the Sanctity of Life: Healing Mind, Healing Body," is being organised in the Capital from October 23 -27, 2015 .

    "The 5-day program shall include guest lectures, a seminar with experts from various medical traditions, exhibitions and workshops, the creation of a Medicine Buddha sand mandala, cultural shows and screenings, The major highlight shall be free health and Astrology consultancy by experts and Tibetan food stalls . The programme will also serve as a platform for medical diagnosis and the sale of herbal medical products, said Geshe Dorji Damdul, Director Tibet house, New Delhi.

    "The Tibetan medical system is one of the world's oldest known medical traditions. It is more than 2500 years old and It is an integral part of Tibetan culture and has been developed through many centuries. Tibetan medicine is known for treating digestive, cardiovascular, and rheumatoid ailments, " said Geshe Dorji Damdul.

     

     

     

    As a result, it is becoming very popular alternative treatment outside Tibet. In recent years their has been surge in ancient art of healing methods both locally and internationally. people are returning to traditional medicine like Tibetan medicine and Ayurveda."In the 8th Century AD, under the auspices of the Tibetan king, Trisong Dhetsen, an international conference on medical sciences was organised in Tibet, perhaps the first of its kind in the history of humanity. This significant event was attended by delegates from across Asia, as a result of whose influence, the Tibetan medical system developed an unparalleled degree of sophistication, he added .

    "The importance of this system has been recognised by the Government of India. It has passed legislation in the Parliament to bring this rich Tibetan medical tradition into the country's streams of practice, as a distinct medical system,"he said.

    "The Tibetan medical system is very close to the heart of His Holiness the Fourteenth Dalai Lama, as one of the treasures of the ancient wisdom culture of Tibet.

    He emphatically advises the Tibetan medical institutions to be actively engaged in undertakingresearch and in bringing forth innovative ways of improving upon this ancient system of healing. Such encouragement has led to the tremendous development of Tibetan Medical and Astro. Institute's (TMAI) Department of Pharmacy, to create more medicinesand herbal products. "" said Mr. Tashi Tsering Phuri, , Director Development Manager Men-Tsee-Khang, Dharmasala.

    The world is today facing severe health challenges, with deleterious impacts on communities and economies. This problem can potentially be overcome with the help of various existing medical systems. While allopathic medicine has an advantage of immediately and effectively treating the external components of diseases, it is traditional medical systems, such as that of Tibet,that propagate a more holistic way of treating patients. Its unique approach that explores the interconnections between the body and mind, and the mental basis of well-being (or its obverse, disease), is increasingly recognised even by allopathic medicine as an integral component of treating patients.

    WHO calls for ensuring eye care for all 

    Thesynergyonline Health Bureau

     NEW DELHI, OCTOBER 07 :
    WHO South-East Asia has 140 million visually impaired people. The Region has an estimated 12 million blind people, 8 million of them in India. More than 50% of all blindness is caused by cataract which accounts for 33% of visual impairment. Uncorrected refractive errors are responsible for 43 per cent of the visual impairment in the Region. About 65 percent of the visually impaired people are 50 –year old and above ,” said  Dr Poonam Khetrapal Singh, Regional Director, WHO South-East Asia Region on the eve of World Sight Day (October 08, 2015).

    These statistics should be viewed against the fact that 80 per cent of visual impairment is avoidable. And that the blindness prevention strategies and restoration of sight are among the most cost-effective interventions in health care.

    To reduce avoidable blindness and visual impairment, we must ensure universal access to comprehensive eye care services. There is a need to review and reinforce existing measures so that nobody suffers visual impairment and those with unavoidable vision loss can still achieve their full potential. World Sight Day on 8 October will focus on ‘eye care for all’.

    The WHO Global Action Plan (GAP) for the Prevention of Avoidable Blindness and Visual Impairment 2014-2019, emphasises on improving eye health for everyone and reducing the prevalence of avoidable blindness and visual impairment by 25% by the year 2019.
    Implementing simple measures such as eye care services in schools can help detect and correct refractive errors in children. And quality surgical procedures can help cataract patients get back to normal lifestyle very quickly.

    The World Sight Day is an opportunity to raise public awareness against blindness and visual impairment, and advocate for designating more resources for national blindness prevention programmes. Together we can make VISION 2020, the global initiative for the elimination of avoidable blindness, a reality.

    India's healthcare BPO sector facing
    competition from US ,Philippines: Study

     Thesyergyonline Health Bureau

    NEW DELHI, SEPTEMBER 13 :
    "If you deprive yourself of outsourcing and your competitors do not, you're putting yourself out of business." - Lee Kuan Yew

    “The Philippines and other low-cost locations are emerging as a big challenge to Indian BPO industry including the healthcare vertical,” noted the study titled, ‘Medical Process Outsourcing in India,’ jointly conducted by The Associated Chambers of Commerce and Industry of India (ASSOCHAM) and global professional services organisation EY.

    “Competition from leading healthcare BPO companies in the US is a big challenge for Indian vendors, since most of them are specialists in the healthcare sector and provide an increased gamut of services as compared to Indian vendors,” highlighted the ASSOCHAM-EY study.

    Outlining the various growth inhibitors in healthcare BPO market in India, the study said, “Data privacy is the most critical challenge in outsourcing healthcare processes since personal healthcare information is as private as financial information.”
    Hence, to provide outsourcing services to overseas vendors, the Indian vendors need to comply with international standards of security and privacy, since this can result in business being attracted or lost.

    Another challenge in this industry is the fact that global/local service providers with IT and BPO capabilities and with the capability to provide integrated solutions, with big data/analytics capabilities and high investment in this area are likely to have an advantage over pure-play BPO vendors.

    Rising salary levels, inflationary pressure on overall cost of infrastructure, fluctuating exchange rates and infrastructural challenges such as power, broadband connectivity are other challenges that the Indian BPO industry is faced with, according to the ASSOCHAM-EY study.

    Although India has grown as a preferred outsourcing destination for healthcare BPO services, several concerns regarding policy framework in terms of tax laws, data privacy laws, intellectual property (IP) protection laws and clinical trial laws exist.
    Indian IT-BPO companies face strict and complex tax regime due to controversies on characterisation of income and transfer pricing issues relating to provision of research and development services.

    Besides, India has strict regulations for granting additional patents on previously patented molecules. Inadequate research and development (R&D) incentives to contract research organisations (CROs) also impact the R&D outsourcing in India.

    Changing regulatory mechanism and the time taken for approval of clinical trials in India has resulted in pharma companies running clinical trials in other countries, the study noted.
    While the government is gradually taking steps to provide more clarity on these laws, the current scenario is adversely impacting the healthcare BPO market in India, noted the ASSOCHAM-EY study.

    The study also highlighted that the most preferred destination for payer and provider outsourcing in India is due to various advantages such as high number of healthcare professionals available at affordable cost, a large patient pool and reduced time and costs for recruitment.

    Payer market in India is estimated at $700-900 million with top BPO and IT vendors having presence in this segment. India is estimated to have a considerable share in payer outsourcing market as a destination and is leading destination in this segment along with the US and Philippines.

    US regulatory changes, margin pressure on payers, demand for niche services, demand for new markets, big data/analytics are certain key drivers in the payer market.
    While increased regulatory governance of payers as well as control of fraud, waste and abuse together with competition from global software, IT consultants and BPO vendors are key challenges in the payer market.

    Difficulty in expansion beyond the US is another challenge for the domestic payer market. “Indian BPO vendors have not been able to penetrate European and other developed markets for insurance outsourcing business due to stricter regulatory norms and data privacy laws.”

    Provider market in India is still a small segment with an estimated size of $100-200 million, highlighted the ASSOCHAM-EY study. “This is primarily due to the fact that provider market itself is very fragmented and very few players have the scale to derive considerable benefits from outsourcing.”

     Loss of revenue due to billing error, know-how of minor services, margin pressures, healthcare uptake in India, ICD-10 coding standards’ adoption, structured documentation and consolidation in market are key drivers of provider market in India.

    However, lack of expertise on global medical coding standards, laws and policies pertaining to healthcare benefits in the source country, inadequate skillset for documentation and medical record management are some challenges faced by the industry in India.
    A far off-shoring location of Indian vendors for providers in the West is another dampener since most providers prefer outsourcing near-shore, due to nuances involved in the process being outsourced and the comfort level of providers.

    Besides, preference for skilled doctors, competition from hospital management companies and concern on benefits of outsourcing are certain other challenges being faced by Indian players in the provider market.

    "Delectable or detestable, all depends on
    what you place on the table"
     

    Generic drug industry to touch
    US$ 27.9 bln by 2020: study

    Thesynergyonline Health Bureau

     

     Generic drug

    NEW DELHI, SEPTEMBER 09 :
    Domestic generic drug market is expected to cross US$ 27.9 billion from current level of US$ 13.1 billion registering compound annual growth rate (CAGR) of about 16.3 per cent particularly due to approval accorded by US FDA makers and 21 drugs patent losing patent by 2019 , according to the joint study brought out by ASSOCHAM and RNCOS.

    Generics would account for 85 per cent share in the domestic pharma market by 2020, fuelled by cheap labour, patent cliff of blockbuster drugs and prevalence of lifestyle diseases, according to a study on 'Generic Medicines in India- Promulgating Growth & Access,' jointly conducted by The Associated Chambers of Commerce and Industry of India (ASSOCHAM) and RNCOS.

    Generic drugs account for 75n per cent of the domestic pharmaceutical market by value. Drugs for cholesterol control, pain management, anticoagulant, respiratory, liver disorders, depression and lipid regulators are highly prevalent in the global market. Recently, Sun Pharma got the US FDA nod to manufacture generic hydocodone bitartate with acetaminophen (APAP) tablets. It is a narcotic analgesic indicated in the treatment of relief of moderate to moderately severe pain of acute, chronic, or post-operative types, adds the study.

    However, the influence of physicians in India in terms of prescribing branded medicines and the lack of drug pricing control laws have limited the consumption of unbranded generics in the domestic market. Thus, Generics majors like Sun Pharma, Lupin, Dr, Reddy's etc., have been targeting international markets for their revenue, adds the study.

    With key initiatives announced by Modi Government to include price control policies and the revision of Jan Aushadhi campaign, the market is likely to show a notable incline in the penetration of unbranded drugs, said Mr. D s Rawat Secretary General ASSOCHAM.
    The domestic pharma market was valued at US$ 15.4 Billion in 2014 and is expected to expand at a CAGR of 13.3 per cent to US$ 32.7 Billion by 2020. Driven by favorable demographics including growing aging population, increasing lifestyle diseases, steep growth in disposable incomes, and increasing penetration of Indian drug players in the global market, India is likely to be among the top three pharmaceutical markets by incremental growth and sixth largest market globally in absolute size, highlighted the study.

    The major export markets for the country's pharmaceutical products are Americas, Europe, China, Japan, Africa, etc. The US is single largest export destination. It accounts for nearly 28 per cent of Indian pharmaceutical exports, followed by the European Union (18 per cent) and Africa (17 per cent). The pharma exports to the US market are high due to the large number of approvals from the USFDA. India has been the third-largest exporter of drugs to the US market by volume and it has 370 FDA-approved manufacturing facilities outside the US, which is the second largest in the world.

    ASSOCHAM has also recommended focus on quality control, creation of robust supply chain network, support to other states, access to modern technology, need for infrastructure development, need for increasing awareness programmes, Encouraging New Entrepreneurs etc, adds the joint study.

    India ranks 4th in pharmaceutical production in the world with a production output of about US$ 31 Billion in 2014. The country has a 1.4% share by value and 10% by volume in the global pharma industry. India is one of the leaders in pharmaceutical exports. The country exports drugs worldwide to more than 200 countries.

    The major export markets for the country's pharmaceutical products are Americas, Europe, China, Japan, Africa, etc. The US is single largest export destination. It accounts for nearly 28 per cent of Indian pharmaceutical exports, followed by the European Union (18%) and Africa (17 per cent). The pharma exports to the US market are high due to the large number of approvals from the USFDA. India has been the third-largest exporter of drugs to the US market by volume and it has 370 FDA-approved manufacturing facilities outside the US, which is the second largest in the world.

    "If I had no sense of humor, I would long ago have committed suicide." - Mahatma Gandhi

    Suicide second leading cause of death : WHO

    Thesynergyonline Health Bureau

    Dr Poonam Khetrapal Singh, Regional Director, WHO , SEAR.

    NEW DELHI, SEPTEMBER 09 :
    "Sometimes even to live is an act of courage." - Seneca
     

    And so every 40 seconds a person commits suicide somewhere in the world. Every year more than 800 000 deaths are caused by suicide and there are several other attempted suicide cases. Suicide is the second leading cause of death among 15–29-year-olds globally, said Dr Poonam Khetrapal Singh, Regional Director, WHO South-East Asia Region on the eve of World Suicide Prevention Day (September 10) .


    The WHO South-East Asia Region contributes to 39 per cent of global suicides. Suicide in the Region is mainly a problem of the younger age groups. As large numbers of people in the Region are predominantly rural, the occurrence of suicides is generally much higher in the rural parts of South-East Asia.

    Suicide needs attention as a public health problem not only because of the huge social and emotional burden it has on the family and society, but also because of the scope of prevention that it presents. Suicide is preventable with timely, evidence-based low-cost interventions. Measures can be taken at population, subpopulation and individual levels to prevent suicide and suicide attempts.

    On the World Suicide Prevention Day 2015, WHO calls for collective efforts to reach out to those in need of support. At the individual level, early identification of mental disorders and appropriate management and recognition of suicidal behaviors is helpful. Large-scale advocacy efforts are required to reduce the stigma related to suicides.

    The World Suicide Prevention Day is a call for action by countries, organizations, communities and individuals for joint action to raise awareness about suicide and suicide prevention.

    "The journey of the sun and moon is predictable.
    But yours, is your ultimate art."
    - Suzy Kassem, Rise Up and Salute the Sun: The Writings of Suzy Kassem

    Need for stable, transparent and predictable
    regulatory structure for clinical trial process


    Thesynergyonline Health Bureau

    NEW DELHI, SEPTEMBER 04 :
    While expressing concern over the significant slowdown in the clinical trial approval process, industry body ASSOCHAM has suggested establishment of a stable, transparent and predictable regulatory structure with regular audits and appraisals.

    In a note submitted to the Health and Pharma Ministries, the Associated Chamber of Commerce and Industry of India (ASSOCHAM) says, with 16% of the world's population residing in India and 20 per cent of the disease burden being borne by India, currently 1.5 per cent (approx) of global clinical trials is being conducted in India.

    The chamber said while industry is committed to complying with the new regulations notified in 2013 to ensure the interest of patients like: Rule 122 DAB of the Drugs & Cosmetics Amendment Rules, 1945 (DCR) on Compensation in case of injury or death of a clinical trial subject during clinical trials. However, certain outstanding concerns remain particularly in respect of criteria entitling a patient to compensation, broad definition of 'trial related injury' and the strict and unreasonable reporting timelines required to be followed in case of serious adverse events.

    The issues pertaining to Issues pertaining to definition of clinical trial related injury, compensation to be paid in case of clinical trials related injuries or deaths, establishment of the appellate authority in case of disputes on causality and compensation issues, bio-equivalence and bio-availability studies, timelines for approval process etc. need to be streamlined at the earliest along the lines of international best practices in order to establish a regulatory mechanism which is predictable, stable & transparent.

    Central Drug Standard Control Organisation (CDSCO) should be strengthened and up-gradated with skilled and experienced personnel so that clinical research applications are reviewed expeditiously.

    There is an urgent need to allay the myths around clinical trials – clinical trials are not unsafe and are not conducted in India only because of cost effectiveness, patient vulnerability and lack of regulatory safeguards. Patients/subjects across the globe take an informed decision to participate in clinical research after made fully aware of the potential benefits and risks involved and clinical research is carried out in a highly regulated environment. Such myths can be allayed by creating awareness at all levels - judiciary, law making authorities, Members of Parliament and the media.

    Create awareness about the importance of clinical research to be conducted in India along the lines of recommendations of the Department Related Parliamentary Standing Committee on Health & Family Welfare in its 59th Report, i.e., testing drugs in the Indian ethnic groups is of paramount importance before approving any drug of foreign origin.

    Medical devices makers seek regulatory clarity, fiscal incentives, innovation hubs and correction of inverted import duty structure 

    Thesynergyonline Health Bureau

    NEW DELHI, SEPTEMBER 01 :
    Industry leaders participating in a session on the 'Make in India' initiative at the FICCI Heal 2015conference have called upon the Government to take strong measures to drive the consumption of medical devices in the country, bring clarity to regulatory policy, correct the inverted import duty structure and provide fiscal incentives to give the domestic manufacture of medical devices a strong impetus for growth and turn India into a global innovation hub for medical technology.

    Convening the 'Make in India' and its Relevance to Healthcare session, Mr. Varun Khanna, Managing Director – BD India, said, the 'Make in India' campaign must be aligned with key government initiatives to create a strong impact on public health and provide safe medical care accessible to all. Therefore, it is important for the stakeholders in the medical devices and larger healthcare ecosystem to constructively engage in a dialogue to facilitate 'Make in India' for the country. The government should strengthen entrepreneurship and innovation to fulfil the clinical unmet needs leading to better patient outcomes."

    Mr. Ajay Pitre, co-chair of FICCI Medical Devices Forum & MD, Pitre Business Ventures Pvt. Ltd., said, "The need for quality healthcare services is going to rapidly expand as the Indian economy evolves. A strong domestic medical technology industry is very much possible, considering India's strengths, to help meet the country's needs for medical devices meaningfully and cost effectively. From a net importer, India can transform itself into a provider of cost effective medical technology solutions to the whole world; provided an enabling ecosystem is put in place by the Government."

    The delegates were unanimous that the medical devices industry is poised to grow significantly in the coming years due to the huge unmet need, and it is no longer sustainable to continue with the current 80:20 import-export ratio.

    They called upon the Government to focus on the following initiatives to turn India into a powerhouse of medical devices manufacturing:
    • Market Expansion – The current market of medical technology in India is an insignificant fraction of the global market. The Government needs to facilitate access and drive consumption by increasing spending in healthcare from current 1% of GDP to at least 3 per cent.
    • Regulatory Clarity – The Act separating medical devices from drugs needs to quickly come into force. It should enforce risk-based classification and allow ease of clinical trials. Also, a nodal ministry has to be made responsible for end-to-end facilitation of the medical technology industry.
    • Fiscal Incentives – To create a global supply chain and manufacturing in India, the Government needs to provide fiscal advantages to investors on the lines of countries like Ireland and China.

    Said Mr. Probir Das, Managing Director, Terumo India Private Limited, "It is very important for the Government to address the issue of inverted import duties and formation of manufacturing clusters. The import of components is often more expensive in India than the import of finished goods. Zero duty or very low levels of duty on component imports will facilitate local assembly / production of medical devices."

    Added Mr. Sunil Khurana, Chairman FICCI Medical Electronics Forum & CEO, BPL Medical Technologies, the 'Make in India' campaign coupled with 100 per cent FDI in this sector will provide a huge impetus in growing the medical devices sector in India. Indian medical devices companies must try attract international majors for their participation in the
    form of funds, technology and manufacturing partnership. Local manufacturing will help in development of custom products suited better to our disease pattern and patient demography thereby reducing the overall cost of delivery.

    " Manufacturers would also benefit through government purchases giving preferential treatment for domestic production. Further, we also need to develop our own quality control standards specific to Indian context," he added.

    FICCI Heal is the flagship event of the Health Services Division of FICCI and is among the most eagerly awaited health conferences in India. This year's theme was 'India's Healthcare: Time for Paradigm Shift'. Over two days, the conference focused on the shift needed in the health policy structure and functional guidelines for achieving global standards of healthcare across the country. The conference saw large-scale attendance by policy makers and national and international leaders from healthcare and associated industries from India and abroad.

    FICCI Heal 2015, with back to back sessions over two days from August 31 to September 1 on every aspect of the healthcare industry, concluded with a valedictory session on 'Disruptive Innovation and New Age Entrepreneurship in Healthcare.' It focused on the need for creating an enabling ecosystem to address cultural, infrastructural, financial and legal issues so that constant streams of indigenous innovations are available for market application. There was a strong emphasis on establishing a supportive regulatory system which is expected to play a vital role in encouraging start-ups in the manufacture of medical devices in the country.

    BCG-CII's roadmap to capture the $50 bln opportunity in medical technology industry in India

    Thesynergyonline Health Bureau

    NEW DELHI, AUGUST 28 :
    India continues to be an emerging market in the global medical technologies space. However India has not reached its true potential, both in terms of the market opportunity as well as in building a hub for innovation and manufacturing. To build up a roadmap for India to reach its full potential in medical technology CII along with The Boston Consulting Group assembled a think tank to brainstorm and determine the key levers required to be able to unlock the true potential of India.

    The CII- BCG report titled "Medical Technology: Vision 2025" released at the 8th Medical Technology Conference focuses on what it would take to make this vision a reality and structured the discussion in five areas—Manufacturing, Innovation, Regulation, Adverse environment and Skill building. The report highlights on getting things right, India holds a $50 billion opportunity by 2025 in the medical technology sector.

    The report also talks about steps needed to be taken by the government to streamline regulations and thereby enabling innovation and making doing business viable. Based on all the input from CII Medical Technology Division Members, the report puts forward a 10 point agenda of what needs to come together in the next year:
    • Increase in government healthcare spending as promised to 2.5 per cent of GDP
    • Single window authority for regulation
    • Staff regulatory and administrative agencies with medical technology focused resources
    • Ensure representation from all industries (devices, equipment & diagnostics) to these regulatory bodies
    • Focus on 'Make in India', provide incentives and soft loans
    • Rationalize the inverted Tax duty structure
    • Define segmented procurement approach which rewards innovation
    • Setting up first incubation center along with global & Indian institutes
    • Develop industry advocacy body

    • Set up Healthcare Sector Skill Council (HSSC) sub-group focused on Medical Technology
    "India holds immense opportunity with the 'Make in India' aspiration of the government. There lies a huge opportunity for growth of medical devices industry as 70 percent of medical devices are imported into the country. There are major challenges in making strong headway into this segment. The report elaborates on the challenges faced and how we can overcome the same in order to realize the vision"

    Regulatory uncertainty in the medical device sector has deprived the industry of its rightful place. This is backed by lower government spending. The classification of medical devices as "Drugs" burdens the process of investment with fiscal policy obstacles and regulatory hurdles. It impacts FDI, Technology transfer, Local Investment, Manufacturing, Operations, Innovation and Exports says Himanshu Baid, Chairman, CII Medical Technology Division.

    As a priority in the next twelve months, the following steps ought to be taken with immediate effect to boost the medical technology industry in India:
    • Unlocking demand through ramp-up in government spending on healthcare and providing a platform to participate in government purchasing across schemes and states
    • Setting up a single window authority for the regulation of medical technology manufacturing and enhancing the capability of designated manufacturing hubs
    • Specific tax incentives and soft loans setting up manufacturing plants in line with competing destinations such as Malaysia and Singapore, rationalization of the inverted duty structure for raw material and components, to make indigenous manufacturing more attractive.

    Developments in the past year, hindrances for growth and how to overcome these obstacles will be discussed at the medical technology conference held on 28th August 2015 and key industry stakeholders will come together to flesh out the next steps to realize the Vision 2025 for the industry.

    Slew of measures for boosting medical equipment industry : Pharma Secretary
    NEW DELHI, AUGUST 28 : The government soon is coming out with a slew of policy decisions to give a critical push to the medical technology sector as a part of the Make in India program, which include evolving a regulatory mechanism for the sector through a separate legislation, over hauling tax structure to make the domestic production of medical equipment more competitive introducing purchase preference for boosting local manufacture and stress on Research & Development.

    Announcing these measures at the CII organized 8th Medical Conference with the theme : "A $ 50 billion Medical Technology Industry: Making it Happen in India" held on Friday in Delhi, Dr VK Subburaj, Secretary, Department of Pharmaceuticals, Ministry of Chemicals & Fertilizers, Government of India said that a separate regulatory system for the medical equipment domain could unleash the potential. For this, he stressed that the sector should have a critical mass and a solid growth trend.

    "Achieving $ 50 billion turnover by 2025 as envisaged by the CII whitepaper would be the right place for bringing out a separate regulatory mechanism. The healthcare sector in India would be growing 4 to 5 times from the present level necessitating a separate body to regulate the industry", he said.

    Dr Subburaj said that Prime Minister's office is taking a lot of interest in pushing various schemes for boosting the medical equipment production. It is being monitored regularly and the Department of Pharmaceutical has been empowered to implement the schemes without any loss of time. He also mentioned that the stakeholders like CII have been giving suggestions on a fast track to bring about reforms in the sector. With this, it would be possible to come out with the report indicating varous changes that are needed in the sector in three months' time.

    Referring to the anomalies in the tax structure that act against local manufacturing of medical equipment, the Pharma Secretary said, "This is being examined at the highest level taking inputs from PM's office, Finance, DIPP and his Department". We hope to correct these anomalies well in time to create an eco - system for local manufacturing. The industry has been taking up with the Government the inverted tax structure wherein the import of raw materials is taxed higher than that of finished and semi - finished goods.

    Another area which is engaging the attention of the government, Dr Subburaj said was purchase preference for the equipment manufactured by Indian companies. More than two-third of the medical equipment are imported. At the same time, some of the locally manufactured equipment are competitive both in quality and price. There are 800 units in India across large, medium and small sectors manufacturing medical equipment in the country. With the higher turnover of the healthcare sector, the number of these units would go up in the near future. "We are looking at the tender documents to enable sourcing of equipment locally to give a big boost to medical equipment sector in the country", he added.

    R&D, Dr Subburaj said should engage active attention of all stakeholders including the Government to boost the medical equipment production in the country. Presently, there are various departments in the Government such as Science and Technology, Biotechnology, various specialized institutions etc. which are involved in R&D and in evolving incentives for innovation and discovery. He said "We are devising measures for better coordination among these bodies not only for facilitating discoveries and innovations but also for marketing them," adding that these activities would be coordinated by Pharmaceutical department. Also, a separate website would be launched so also a Year Book listing out innovations, expertise, discoveries etc. to create an eco - system for boosting R&D in the segment.

    Dr Subburaj underscored that the basic objective of healthcare system was to make treatment affordable and accessible by the people. Presently, the total number of surgeries done in India are between 1.5 to 2 lakhs, whereas the demand was for performing 25 lakh surgeries. The reason for not doing the surgeries were either due to lack of facilities for diagnosis or non-affordability of the patients for undergoing the costly surgeries. By making medical system cost effective, there is tremendous scope for expanding the healthcare system, particularly the medical equipment domain.

    Earlier, in his welcome address, Mr Himanshu Baid, Chairman, CII Medical Technology Division and MD, Polymedicure Ltd, has laid a roadmap for achieving the potential of the medical equipment segment which is presently dependent on imports to the extent of 70 percent. These included introduction of regulatory mechanism, a national innovation policy, strengthening of manufacturing facilities and plugging capability gaps.

    Mr Pavan Choudary, Co-chairman, CII Medical Technology Division and MD, Vygon India Pvt Ltd, said that care has to be taken while correcting the inverted tax structure in the medical technology sector. A higher customs duty on the import of medical device would lead to proliferation of smuggling from nearby countries thereby endangering patients with devices which do not have adequate legal and service guarantees.

    The others who spoke at the meeting included Mr. Rahul Guha, Part ner and Director, The Boston Consulting Group and Mr. Suresh Vazirani, CMD, Transasia BioMedicals Ltd.
    Arun Jaitley releases book "Globalisation, Democratization and Distributive Justice Authored by Professor Mool Chand Sharma Professor of Law at Delhi University and Presently the Member of Law Commission of India.

    Synergizing efforts in diabetes care
    at the tertiary level care facilities

    Thesynergyonline Health BUreau

      NEW DELHI , AUGUST 12 :
    In the light of the growing incidence of diabetes, Confederation of Indian Industry (CII), in collaboration with Eli Lilly and Company (Lilly) released a National White Paper on "Synergizing Efforts in Diabetes Care at the Tertiary Level" at the 3rd edition of the National NCD Summit today.

    Dr Jagdish Prasad, Director General of Health Services, Ministry of Health and Family Welfare, Government of India was present to release the white paper. NCD Summit 2015, aimed at creating a national level platform to strengthen public health strategies for comprehensive diabetes management specifically at Tertiary level.

    Speaking on the occasion, Dr. Jagdish Prasad, Director General of Health Services, Ministry of Health and Family Welfare, Government of India, highlighted the fact that India is at risk of becoming the diabetes capital of the world by 2025."Rapid globalization and lack of precautionary measures is the leading cause of diabetes in the country. Education and preventive screening would be key to avoid the burden of diabetes", said Dr. Prasad. He stressed on the importance of leading a healthy lifestyle and its impact on diabetes. Our focus should be to avoid becoming the diabetes capital of the world".

    This year's white paper drafted with support from Population Services International (PSI) is based on the recommendations that emerged from thematic roundtable discussions held in Hyderabad, Delhi, Chennai, Kolkata, Mumbai and Guwahati, around diabetic complications such as Retinopathy, Neuropathy, Gestational Diabetes Mellitus, Cardio Vascular Disease, Nephropathy and Infections including tuberculosis. These regional roundtables witnessed participation from leading endocrinologists, specialists, and policy makers from key government institutes and organizations. These discussions were actively supported by the Ministry of Health and Family Welfare.

    Edgard Olaizola Story, Managing Director of Lilly India said, "Lilly is committed to making life better for people living diabetes and we have been working to meet the needs of people with diabetes beyond medicines. We realized that increase in the cases of diabetes in the country has led to a growing burden on tertiary-level care hospitals, hence there was an urgent need for initiating a dialogue with stakeholders to strengthen the policies and practices around diabetes management in these facilities. We hope this initiative will help reduces complications related to diabetes.

    Dr. Anupam Sibal, Member, CII National Healthcare Council and Group Medical Director, Apollo Hospitals Group, welcomed the guests at the 3rd edition of the National NCD Summit and the release of the whitepaper. He said, "Non-communicable diseases in general and diabetes in particular would take the center stage for discussion at the summit. The aim of the summit is to strengthen and synergize the efforts of diabetes care at the tertiary level. Technology plays an important role in dealing with the burden of diabetes. Along with that, partnerships with different countries like Europe and United States would contribute to prevent diabetes. Innovation and thinking out of the box would also be pivotal in meeting the challenge of diabetes."

    Below are some of the highlights from the recommendations that were drawn from the Regional Roundtables which have been published in the National White Paper 2015:

    Mandatory screening of complications a must at the time of diabetes diagnosis
    Integration of National Programme For Prevention and Control of Cancer, Diabetes, Cardiovascular Disease and Stroke(NPCDCS) and various Government schemes such as Revised National Tuberculosis Control Programme (RNTCP) should be done as this will ensure bilateral screening for diabetes and Tuberculosis

    All pregnant women in India should be screened for Gestational Diabetes in early pregnancy

    For effective diabetes management, blood glucose, blood pressure and lipid profile must be monitored regularly

    Every diabetic patient must get an eye checkup annually

    Life style management should be made part of the curriculum of schools
    Paramedics should be trained for screening diabetes and its complications and should also be trained on Basic Life Support and Advanced Cardiac Life Support
    Employing technology driven tools such as tele-medicine and mhealth for screening and management of diabetes, especially to cater rural population
    Primary healthcare centres should be equipped with glucometers, glucose strips, Trop-T, and ECG machines Need to create awareness amongst general public to remove fear of insulin and ensure therapy compliance Enhance the health care facilities by means of insurance policies, free medicines and insulin which can be implemented through collaboration of government, public and private partnerships (PPPs)

    CII and Lilly had convened the 1st National NCD Summit in 2013 and published a National White Paper to suggest mechanisms for strengthening the NPCDCS program. In 2014, the 2nd National NCD Summit was organized with the objective to shape Diabetes Policies in Public Sector Enterprises (PSEs). These two national white papers received significant appreciation from policy makers and practitioners.

    CII-MTD for distinct marketing practices
    code for medical device industry

    Thesynergyonline Health Bureau

    NEW DELHI, AUGUST 03 :
    CII Medical Technology Division (CII-MTD) participated in the meeting organized by Department of Pharmaceuticals under the chairmanship of Hon'ble Minister of Chemicals & Fertilizers Mr Anant Kumar to discuss the Universal Code for Pharmaceutical marketing Practices (UCPMP).

    CII representation led by Mr Himanshu Baid, Chairman of CII-MTD and Mr Pavan Choudary, co-chair of CII-MTD, focused on the fact that medical device Industry is an innovation driven industry and needs to work with medical practitioners as well as paramedical professional in close proximity and therefore, provision of current UCPMP not allowing industry to engage medical practitioner for continued medical education on latest technologies may be detrimental to the medical device industry.

    Medical devices have a short product life cycle (18 to 24 months) and have frequently upgraded versions. Every new product which comes into market requires physicians to undergo sufficient trainings. The proposed code shouldn't constraint Industry's ability to provide no-frills training to Medical Practitioners, said Himanshu Baid.

    While CII-MTD welcomes any such code, at the same time we recommend that the code should be appropriate for medical device companies and industry practices, which are significantly different from pharma industry. The code in its current form needs more discussion and clarity on research grants or other support funds be regulated by this code as well as product donation, which is needed and is not recognized and hence no provision made for allowing this type of donations as long as desired documentation is maintained by companies, Said Pavan Choudary.

    Therefore, CII-MTD recommended a distinct marketing practices code for medical device tndustry, which supports Training, Education and Awareness Programs that improve patient outcome and would be pleased to work with Department of Pharmaceuticals in developing an appropriate "Universal Code for Medical Device Marketing Practices (UCMMP)", said Himanshu Baid.

    "The wisest investments are made in good health
    intervention activities." - Ellen J. Barrier
     

    Delhi Govt to open 1,000 clinics; emphasis
    on health and nutrition: Satyendar Jain

    Thesynergyonline Health Bureau


    NEW DELHI, JULY 22 :
    "Health is the ability to be fully and consciously aware of all that contributes to your life experience and to effectively exist in that environment. It then means you see yourself as you really are."
    ― Rand Olson, Children of Promise: The Ultimate Guide to Raising Healthy Kids

    And so Delhi Government would be opening a thousand clinics in a year mostly in slums where the emphasis will be in protecting health and improving immunity through better nutrition and health supplements, the state's health and family welfare Minister Satyender Jain said here today at New Delhi.

    While addressing the National symposium on Nutraceuticals, Herbals and Functional Foods organized by ASSOCHAM Mr Jain expressed grave concern over the poor health conditions of Delhi population, especially of women. He recalled that in the three clinics the Delhi Government opened recently in the slums, majority of patients was women. Out of them 80 per cent were found suffering from high deficiency in hemoglobin.

    "In a society that prioritizes man's health, a cleaner is more important than a lawyer."

    And so the Minister added that this indicated that Delhi people needed more than calories vitamins, minerals and food supplements. People also needed to be educated in protecting health.

    "While there was high level of poor nutrition demand in the government clinics for vitamin and other nutrient tablets was low. The government had therefore decided on a fire fighting campaign to protect health", said Mr. Jain.

    Taking on this theme, Dr H K Chopra, chief cardiologist at Moolchand Medicity and co-chairman of ASSOCHAM national Council of Healthcare and Hospital , emphasized that healthcare was more important than medi-care. In public health programmes, the emphasis should shift from illness to wellness. This would save millions of people from later diseases. Over 90 per cent of people above 60 years of age suffered from nutritional deficiency. It was very important that more than pharmaceuticals the people needed Nutraceuticals (nutritional supplements).
    The cardiologist called for a change of public and policy perception from drugs to nutritional materials. "Drug is toxic" he cautioned.

    The symposium revealed the huge market that was opening up in the country for nutritional materials and herbals. Dr. B.K.Rao, chairman, ASSOCHAM National Council of Healthcare and Hospital and former chairman of Sir Ganga Ram Hospital revealed that the nutraceuticals and herbals market in India would be 4billion USD by 2018 with a compound growth rate of 18 per cent. He regretted the lack of clarity in regulatory structure in this sector with lot of claims, counter-claims and myths cluttering the prospects.

    Among others who spoke at the symposium Mr. P.K. Jain, Chairman of ASSOCHAM MSME Council said, Andhra, Tamil Nadu and West Bengal were emerging as the main centres of production of nutraceuticals and herbals production. All big pharmaceutical companies were now moving into production of these.

    Detailing the holistic treatment needed for better health through nutraceuticals, Mr. Shishmul Maheshwari, founder and CEO of RNCOS stressed the preventive quality of these materials. The huge change in healthcare that probiotic materials brought about in Japan, Mr. Minoru Shimada, MD of Yakult Danone India recalled the history of this growth.

    Mr. Satyendra Jain also released the ASSOCHAM-RINCOS knowledge paper on nutraceuticals, herbals and functional foods brought out on the occasion. In his foreword to it ASSOCHAM Secretary-General DS Rawat said that the market for these is restrained by lack of a solid regulatory framework which is crucial for medical credibility as it ensures high quality products". The paper revealed that the US alone has 36 per cent of the global market for these with Asia-pacific rising to 30 per cent. Japan is a major consumer with 14 per cent and China 10 per cent.

    "In diagnosis think of the easy first. " - Martin H. Fischer

    Samsung's new RS80A with Prestige
    boosts diagnostic confidence
     

    Thesynergyonline Corporate Bureau

    GURGAON, July 21 :
    Samsung Electronics on Tuesday launched premium ultrasound imaging system 'RS80A with Prestige' with an enhanced diagnostic package designed for radiology departments. The RS80A with Prestige strengthened research ability to the existing RS80A over a broad spectrum of diseases related to abdominal, breast, cardiovascular, and musculoskeletal ailments, to provide higher clinical value. After the launch of Samsung's first radiology system RS80A last year, RS80A with Prestige will come with additional research functions to enhance user experience.

    RS80A with Prestige is equipped with S-Fusion, which is a function that can compare the body parts intended for diagnosis through ultrasound imaging with CT or MRI imaging simultaneously for analysis. Users can determine the location of lesions more precisely that the existing ultrasound imaging couldn't locate with high resolution of CT and MRI imaging. In particular, S-Fusion allows auto-registration that aligns imaging of CT or MRI within 30 seconds to enable a quick diagnosis.

    S-Shearwave, which helps analyze the characteristics of body tissue without biopsy, provides numerical measurements of stiffness using the shear wave produced around the region of interest. The function supports accurate diagnosis by providing Reliable Measurement Index (RMI) and statistics for repeated measurements including the median and standard deviation.

    RS80A with Prestige provides Samsung's new advanced 3D technology, Natural Vue. The feature strengthens morphological expressions than the existing Realistic Vue that creates realistic expression of internal body images. With the application of the 3D/4D reflection mode, Natural Vue can show even a minute protrusion that basic imaging is unable to display. The system also features Arterial Analysis, which supports earlier detection of cardiovascular diseases by executing both morphological and functional analysis of the vessel.


    RS80A with Prestige was first launched in Korea in June 2015 and will be followed by launches in other regions around the world, including the US and Middle East in due course, targeting research and general hospitals. The product was introduced earlier in March at the 2015 European Congress for Radiology in Vienna, through seminars on clinical values of its main functions. The RS80A with Prestige also drew keen attention at the 31st Korea International Medical & Hospital Equipment Show in Seoul.

    Karnataka tops with 1/4th share in total output
    of medical instruments and supplies : Study
     

    Thesynergyonline Economics Bureau

     

    NEW DELHI, JULY 18 :
    Karnataka has ranked on top with highest share of over 25 per cent in the total output worth about Rs 5,300 crore of medical and dental instruments and supplies sector generated across India, according to a recent ASSOCHAM study.

    "Though Karnataka had just about eight per cent share in terms of total number of 316 factories operating in medical and dental instruments and supplies sector across India, the state generated highest amount of over Rs 1,360 crore in output of medical and dental instruments and supplies sector across states in India," noted a study titled 'Indian Medical Devices Industry: The way ahead,' conducted by The Associated Chambers of Commerce and Industry of India (ASSOCHAM).

    "Karnataka had fourth highest share of about eight per cent in total number of 338 factories in the sector of medical and dental instruments and supplies across India," according to analysis of the state-wise distribution of manufacturers of medical and dental instruments and supplies in the country by ASSOCHAM based on data complied as part of Annual Survey of Industries 2011-12 conducted by the Government of India.

    Of the total number of 26 factories in medical and dental instruments and supplies segment in Karnataka, 25 such factories were under operation as of 2011-12.
    Karnataka had sixth highest share of just over eight per cent in terms of direct employment generated by medical and dental instrument factories operating throughout India.

    Over 18,100 people were directly employed in 316 factories under operation in medical and dental instruments and supplies sector in India producing a total output worth over Rs 5,300 crore as of ASI survey of 2011-12, highlighted the ASSOCHAM study.

    Clocking a compounded annual growth rate (CAGR) of over 15 per cent, imports of medical devices and equipments in India is likely to cross $4 billion mark by 2018-19 from a level of about $2.3 billion as of 2013-14, projected the study prepared by the ASSOCHAM Economic Research Bureau (AERB).

    Growth of medical goods' exports to India is expected to continue as a result of our burgeoning middle class, growing medical tourism industry, swelling private sector healthcare investment, aging population and heightened government commitment to provide health services to the rural population, the study noted.
    "As currently much of the medical devices in India are imported therefore, going forward it is imperative for India to focus on development of domestic manufacturing capabilities for ensuring the nation's health security," said Mr D.S. Rawat, secretary general of ASSOCHAM while releasing the findings of the chamber's study.

    "Absence of a clear and consistent regulatory framework, lack of adequate incentives and funding for manufacturing devices, absence of medical devices' specific legislation, dearth of trained workforce for maintenance of medical devices, insufficient financing and lack of co-ordination between diverse stakeholders are certain key constraints faced in establishing this industry in India," said Mr Rawat.

    "There is a need for infrastructure creation for setting up green-field medical devices and equipment parks," he added.

    The Government should aim towards encouraging foreign investments in large numbers in the medical devices' sector as healthcare and diagnostic segment in India has been growing rapidly thereby creating a major potential market for manufacturing medical devices and related equipments in the country, suggested the ASSOCHAM study.

    It is a high growth segment and increased foreign direct investment (FDI) along with collaborative arrangements to expand domestic manufacturing capacity is imperative for the same, it added.

    As India's burden of disease transitions from communicable to non-communicable diseases (NCDs) driven by socio-economic advancements, medical devices will play a critical role in helping their diagnosis and treatment.

    All the concerned stakeholders at various levels in the healthcare industry – the manufacturers, the policy makers, the healthcare providers, the insurance players and medical education institutions need to join hands for a sustained growth of medical technology industry, further suggested the study.

    A long term sustained integrated approach with multiple programs and collaborative partners across the country is required for advancement of medical devices sector in the country, added the study.

    "Ultimately, the Government has to play the role of a key enabler thereby taking care of product approval framework, safety guidelines, foreign direct investment (FDI) policy, developing and promoting medical-technology clusters for indigenous manufacturing and up-skilling the workforce."

    In its study, ASSOCHAM has suggested that Government needs to expedite the process of relaxing FDI policy for cash-starved medical devices sector, attract more investments and boost domestic manufacturing. "FDI inflow is expected to spur research and development (R&D) and manufacturing innovations, in turn increasing the efficiency and effectiveness of medical devices."

    It has further recommended to encourage innovative financing mechanisms and funding sources and to establish a large scale medical devices capital fund to invest in needed, viable, medical devices development and commercialization, besides the fund would also support a national medical devices network.

    Focus upon building medical devices expertise by introducing specific educational programs and relaxing the strict quality norms demanded by Indian regulatory authorities in creation of clusters are certain key suggestions listed in the ASSOCHAM study.

    "First God created the man .Then He created the woman. Then
    God felt sorry for the man, and gave him tobacco." - Mark Twain
     

    Stronger initiatives, focused cessation
    efforts needed against tobacco

    Thesynergyonline Health Bureau

    "Smoking is suicide by instalments."  

    NEW DELHI, JULY 07 :
    "the wretcheder one is, the more one smokes; and the more one smokes, the wretcheder one gets—a vicious circle." - George du Maurier, Peter Ibbetson

    Andso improved tax measures, stronger law enforcement and enhanced cessation efforts are urgently needed in the WHO South-East Asia Region to protect people against the ill-effects of tobacco which continues to be a major public health issue ," said Dr Poonam Khetrapal Singh, Regional Director WHO South-East Asia Region on the launch of the WHO Report on the Global Tobacco Epidemic, 2015.

     

    "Tobacco, coffee, alcohol, hashish, prussic acid, strychnine, are weak dilutions. The surest poison is time." - Ralph Waldo Emerson

    "After some time he felt for his pipe. It was not broken, and that was something. Then he felt for his pouch, and there was some tobacco in it, and that was something more. Then he felt for matches and he could not find any at all, and that shattered his hopes completely." - J.R.R. Tolkien, The Hobbit

    And so tobacco kills approximately 6 million people annually, 20 per cent of them live in the Region which accounts for 25 per cent of the world's smokers and almost 90 per cent of smokeless tobacco users. Recent estimates show that there are about 246 million smokers and 290 million smokeless tobacco users in the Region.

    "The uncle lit up and blew smoke in a thin blue viper's breath toward the window. It coiled and diffused in the yellow light. He smiled. I'd like to have a dollar for every time I quit, he said."
    ― Cormac McCarthy, Suttree

    Increasing tobacco taxes is the most cost-effective measure of tobacco control, it is a win-win approach for government revenues and the health of the population. Governments need to tax all tobacco products in a manner that people do not opt out of one expensive product to a less expensive one. Taxing all tobacco products comparably is a must to reduce incentives for substitution. Currently governments are levying much less tax on smokeless tobacco and regulations do not cover all aspects of smokeless tobacco use. Smokeless tobacco is the main cause of oral cancer in the Region.

    Tax structure needs to be made simpler to be more effective. At the moment most countries have a complex and tiered tax structure that is not only difficult to administer but also creates loopholes that undermine both the health and revenue impacts of tobacco excise taxes.

    Also, while revising and setting tobacco taxes, we must always ensure that the taxes are large enough to offset any increase in incomes and purchasing power.

    Equally important is the strong administration of tobacco taxes and crack down on illicit trade of tobacco to reap the public health benefit of tobacco tax increase.
    One of the biggest area for improvement high-quality and accessible tobacco cessation programmes.

    Many countries in the Region have been making substantial progress in implementing tobacco control and prevention measures. Bangladesh is among the seven countries in the world that have raised taxes that represent over 75 per cent of the retail price of a pack of cigarettes. Close on the heels are Sri Lanka and Thailand, with 70 per cent.

    The WHO Report on the Global Tobacco Epidemic released on Tuesday shows that between 2012 and 2014, Bangladesh, India and Maldives have made progress in increasing taxes on cigarettes. Bangladesh and Indonesia have implemented pictorial health warnings. Nepal has made progress in implementing bans on advertisement, promotion and sponsorships of tobacco products, while Myanmar has expanded smoke free places. Thailand has successfully protected warning label requirements (85% of the two largest surfaces of cigarette packs and cartons). India's comprehensive tobacco control program has expanded to cover the entire nation on Tuesday

    "Giving up smoking is the easiest thing in the world. I know because I've done it thousands of times." - Mark Twain

    Countries in the Region need to strengthen their initiatives against tobacco that continues to cause premature deaths while adding to the increasing epidemic of non-communicable diseases (NCDs) such as chronic lung disease, heart ailments and cancer.

    Finally, tobacco is a filthy weed . That from the devil does proceed It drains your purse , it burns your clothes . And makes a chimney of your nose."- Benjamin Waterhouse

    You need a good bedside manner with doctors or you
    will get nowhere." - William S. Burroughs, Junky
     

    Central Bank celebrates 'World Doctors Day'


    Thesynergyonline Health Bureau

    R to L : Dr S K Sharma, Acting Principal, Lady Hardinge Medical College, Mr K K Taneja, Field General Manager, Central Bank , Mr M K Gaind, Senior Regional Manager Regional office Delhi South, Dr Atul Murari, Principal and Director, Lady Hardinge Medical College, Dr B L Sherwal, Vice Principal, Lady Hardinge Medical College.  

    NEW DELHI, JULY 03 : ?
    "We come unbidden into this life, and if we are lucky we find a purpose beyond starvation, misery, and early death which, lest we forget, is the common lot. I grew up and I found my purpose and it was to become a physician. My intent wasn't to save the world as much as to heal myself. Few doctors will admit this, certainly not young ones, but subconsciously, in entering the profession, we must believe that ministering to others will heal our woundedness. And it can. but it can also deepen the wound." - Abraham Verghese, Cutting for Stone

    And so Central Bank of India celebrated Doctors Day on July 01 , 2015 with full spirit and fervour at "Lady Hardinge Medical College" New Delhi. The eminent doctors including Dr. Atul Murari, Principal and Director of the College, Dr S K Sharma, Dr. Sherwal were felicitated by Mr. K.K. Taneja, Field General Manager, Central Bank of India.

    A good laugh and long sleep are the best cures in the doctor's book.

    While speaking on the occasion, Mr. K.K. Taneja lauded the role of the doctors and their contributions to the mankind.

    A physician's unique role focuses on performing a history and physical to determine a differential diagnosis for the patient, including most likely diagnosis, and then developing management and treatment plans for those conditions/diseases.

    The role of the physician on a healthcare team is multi-faceted. The physician's responsibilities are based on regulated scopes of practice. The physician is trained to provide leadership in developing and supervising the patient's overall healthcare plan.

    A physician's prayer :

    Dear Lord,
    Though great physician, I kneel before thee.
    Since every good and perfect gift must come from thee:
    I pray
    Give skill to my hand, clear vision to my mind,
    Kindness and sympathy to my heart
    Give me singleness of my purpose,
    Strength to lift at least a part of the burden
    Of my suffering fellowmen
    And a true realization of the rare privilege that is mine.
    Take from my heart all guile and worldliness,
    That with the simple faith of a child I may reply on thee.
    Collossians :3:17

    Dr. Atul Murari extended thanks to the Central Bank of India for honouring Doctors fraternity and also appreciated the various schemes rendered by Central Bank of India at Lady Harding Medical College.

    DOCTOR : Lord, make me an instrument of Your kindness 

    Precious Lord, I ask You in Your Most Holy Name
    That I treat all those who seek my help the same
    Regardless of status, station, wealth, or fame
    I ask that You give me clarity of thought and mind
    So that I, with Your help, can always find
    The right diagnosis each and every time
    I ask that You never let my compassion fade
    Or let my tongue become as a sharp blade
    Or let me worry only about how I get paid
    I ask that my hand always be a source of comfort
    That I never cease to exert every effort
    To find what ails the person I see
    And take him out of pain and misery
    I ask that I always keep in my mind's eye
    That it is You who heals and not I
    So that if I ever, by Your Grace, "bring life to the dead"
    That miracle You wrought never goes to my head
    Above all, my Lord, never let me lose my smile
    Never let me lose my joy, even for a while
    And I ask that You bless me as long as I live
    And that health and joy is all I will ever give.

    Central Bank of India also apprised the Doctors of the various schemes meant for the doctors and a detailed presentation was made on its Special Scheme "Cent Doctors". The felicitation programme was attended by nearly 100 doctors and senior officials of the Bank.

    Photo narration: Right to Left : Dr. SK Sharma, Acting Principal, Lady Hardinge Medical College, Mr K K Taneja, Field General Manager, Central Bank of India , Mr MK Gaind, Senior Regional Manager Regional office Delhi South, Dr Atul Murari, Principal and Director, Lady Hardinge Medical College, Dr. BL Sherwal, Vice Principal, Lady Hardinge Medical College.

    'Reaching healthcare to rural population
    can be immediate deliverable of
    PM's Digital India programme'

    Thesynergyonline Health Bureau 



    NEW DELHI, JUNE 30 :
    "It is hard to talk about a middle ground for something that is a fundamental right." - Teri Reynolds, The Obama Syndrome: Surrender at Home, War Abroad

    So one of the immediate possible deliverables to Prime Minister Mr Narendra Modi's Digital India programme, an ASSOCHAM sectoral Paper has suggested Tele-medicine be reached to a vast population of the country which is still not covered with the basic health amenities.

    The key issues which can make the programme a big success would be costs and adequate availability of Internet bandwidth, the paper has said.

    With 68% of India's people living in rural areas, telemedicine is seen as a means of improving the quality of rural healthcare. In countries like India, the national healthcare systems are still struggling to deliver affordable access to healthcare to all of their citizens. With limited resources and much of the population living in remote rural areas, Telemedicine has the potential to revolutionize the delivery of healthcare in the country, the paper said.

    ''For telemedicine to be widely implemented, it has to be profitable to both; vendors and patients. Bandwidth costs, training and maintaining personnel at the point of care centre increase costs while confidence of the patient is low when the doctor untrained in tele-health attends to them," the ASSOCHAM Paper noted.

    The Chamber Secretary General Mr D S Rawat said, "Reaching health to the rural areas by leveraging the Prime Minister's ambitious Digital India Progamme would be one of its major measurable deliverables".

    Telemedicine has huge potential in India because of the severe shortage of doctors, especially in rural areas; high patient volumes; widespread availability of mobile networks; rapid growth in the availability of low-power, hand-held medical monitoring devices, and the shift away to a networked tele-enabled system.

    However, enough availability of Internet speed via bandwidth remains an area of concern. Even though low-cost telemedicine applications have proven to be feasible, clinically useful, these applications are not being adopted on a significant scale due to a variety of barriers.

    "Telemedicine usage is limited in scale in the country. Urgent action is therefore needed to break down barriers to the widespread adoption of the technology in healthcare. These barriers include regulatory hurdles, in particular clarifying the legislative environment relating to health data privacy and security and personal identity regulations", the paper said.

    A lack of computer literate workers with expertise in managing computer services, combined with the lengthy process required to master computer-based peripheral medical instruments can hinder the adoption of telemedicine in India.

    "Ah, Nothing is too late, till the tired heart shall cease to palpitate." ? Henry Wadsworth Longfellow  

    WHO calls for early reconstruction of
    health system in Nepal quake survivors

    Thesynergyonline Health Bureau

    KATHMANDU/NEW DELHI, JUNE 25 : " Promptitude is not only a duty, but is also a part of good manners; it is favorable to fortune, reputation, influence, and usefulness; a little attention and energy will form the habit, so as to make it easy and delightful." -Charles Simmons

      And so committed to build back equitable and resilient health systems in Nepal at the earliest , World Health Organization said on Thursday the health of people who survived the killer earthquakes could be at risk if regular services were not rebuilt and restored on a priority. All partners need to work together towards an early recovery and reconstruction of Nepal's health systems.

    "We need to urgently restore regular health services for the millions of affected people – for the pregnant women, newborns, children, the aged, people with diseases such as TB, heart ailments, diabetes etc. Without critical services their health could be at serious risk, Dr Poonam Khetrapal Singh, Regional Director, WHO South-East Asia Region, said in Kathmandu, at the International Conference on Nepal's Reconstruction 2015.

    Having lost their homes to the earthquake, displaced populations continue to live in temporary shelters with sub-optimal hygiene, sanitation and water conditions. They are vulnerable to diseases and health risks in the ongoing rainy season and the approaching winter. Many of the affected people - the injured, need long term care or rehabilitation. A large number of people need mental health care to cope with the trauma caused by the calamity.

    WHO has been working closely with the Ministry of Health and Population on the health sector response, which post-earthquake focused on trauma management and temporary reinstatement of the critical health services, and is now transitioning to early recovery and reconstruction.

    In addition to strengthening surveillance and disease prevention initiatives, one of WHO's key interventions for the ongoing monsoon season is the medical camp kits (MCKs), a set of water proof tents. The MCKs are being strategically located in the most affected districts to serve as temporary patient consultation and treatment facilities and to provide continuity of services. The MCKs will provide the critical buffer during which the recovery of health system must proceed, said Dr Khetrapal Singh.

    With 80 per cent of health facilities in the 14 most affected districts damaged, the task of reconstruction is huge but equally important.

    The Regional Director said long-term development and the scaling up of risk reduction and preparedness will be key features of WHO's contribution in the recovery and reconstruction phase.

    WHO will support with capacity building of national and district health staff on emergency preparedness; expanding the number and quality of disaster-resilient health facilities in the districts; improved interventions for structural, non-structural and functional capacities; replenishment of buffer stocks of prepositioned medicines; and medical kits and supplies and rapid response team kits, among others.

    WHO has been supporting Nepal's disaster risk reduction and emergency preparedness initiatives. Major hospitals in Kathmandu, covered under these initiatives, withstood the earthquakes and continued to function with its trained staff demonstrating the importance of resilient health facilities in emergencies for saving lives.

    The Regional Director said the international community's collective will is necessary for reconstruction of Nepal's health system.

    WHO stands committed to the cause, and will contribute its best to rebuild resilient and equitable health systems in Nepal.

     

    Our exile organizations have been our way of replacing the cities and villages we have lost." - Henning Mank

    Pharma outsourcing accounts for 75% of India's healthcare BPO market: Study

    Thesynergyonline Health Bureau

    NEW DELHI, JUNE 23 :
    At $2.5-3.1 billion (bn), pharmaceutical outsourcing market (excluding contract manufacturing services) accounts for about 75 per cent of the India's medical process outsourcing (MPO) segment which is currently estimated at $3.3–4.2 bn, according to a just concluded ASSOCHAM-EY joint study.

    "While the payer outsourcing market constitutes $700-900 million (mn) of India's MPO market, the provider market accounts for the remaining share of about $100-200 mn," noted the study titled 'Medical Process Outsourcing in India,' jointly conducted by The Associated Chambers of Commerce and Industry of India (ASSOCHAM) and global professional services organisation EY.

    The recent US regulation on Patient Protection and Affordable Care Act (PPACA) together with the proposed introduction of ICD-10 standards have given impetus to the Indian MPO market. Besides, domestic players are also gradually moving up the value chain in terms of service offerings while maintaining their cost competitiveness.

    "All of these combined will give a boost to the MPO market, with payer BPO market likely to grow at about 10 per cent year-on-year (Y-o-Y) in the next three to four years globally, provider outsourcing at more than 30 per cent during 2011–2016, and the Contract Research Organisations (CROs) market at 18 per cent–20 per cent in the coming years," highlighted the ASSOCHAM-EY study.

    "We believe that there has been an ample push from healthcare payers, providers and pharmaceutical companies to move non-core processes to third-party service providers, and India has been one of the leading destinations for outsourcing in this space," said Mr D.S. Rawat, secretary general of ASSOCHAM.

    "India has emerged as the second largest destination after the US in the healthcare outsourcing space. The growing ability of Indian players to analyse big data, discover hidden patterns and unknown correlations are driving new service offerings in this market," said Mr Milan Sheth, Partner and Technology industry leader, EY India.

    Overall, Indian BPO industry stands to gain from the growing demand in healthcare outsourcing. An evolved medical education system and its established prowess as a hub for outsourcing give India an inherent advantage.

    Factors like a mature pharmaceutical and medical education system, large English-speaking population, low cost base, large talent pool and diverse set of business process outsourcing (BPO) providers including local and multinational BPO companies are driving outsourcing in healthcare in India, noted the study.

    Besides, rising demand for high-end healthcare facilities and multi-specialty hospitals, established medical and central lab infrastructure and training centers is contributing to the growth of healthcare and life sciences industry thereby fuelling the domestic demand for medical process outsourcing, it added.

    In order to fuel growth in MPO sector, the ASSOCHAM-EY study has suggested the government to focus on implementing data privacy laws, introducing proper regulations around intellectual property and patent laws, and give a boost to education to help bridge the skill gap.

    Although, Indian regulatory environment has been constantly evolving, the challenges around privacy laws, intellectual property laws and changing clinical trial laws continue to exist.

    A favorable and stable regulatory environment coupled with increased transparency is critical for growth in this sector, according to the ASSOCHAM-EY study.

     

    "While doing yoga we are more ourselves, and more than ourselves." -Valerie Jeremijenko

    Yoga coordinates between body, spirit,
    mind and soul : Rajnath Singh

    Thesynergyonline Health Bureau

    NEW DELHI, JUNE 22 : "Yoga is 99 per cent practice and 1 per cent

    And so the Union Home Minister, Mr Rajnath Singh has said that Yoga in human life coordinates between body, spirit, mind and soul. He was addressing the valedictory session of the International Conference on Yoga for Holistic Health, here on Monday.

    Mr Rajnath Singh has said that being birth place of Yoga, India never wanted to become a world leader in propagating Yoga but wanted everyone in the world to live in good health and peace. India has always practiced 'Vasudhaiva Kutumbakam' which says 'the world is one family', he added.

    The Union Home Minister has said that on International Yoga Day, there was a festive mood not only in India but all over the world. Yoga was practiced everywhere, including water, land and air (jal, thal and nav). Entire world has practiced Yoga, which doesn't belong to one Religion or Caste, he added. The entire credit goes to the Prime Minister of India, Shri Narendra Modi for making International Yoga Day a reality.

    Mr Rajnath Singh has compared the human life with a physical formula. The circumference of satisfaction of a man is purportedly related to happiness, and that happiness can be achieved through Yoga, he added. Yoga joins groups in the society and it doesn't divide, he also added. After Buddhism which is born in India and spread all over the world, Yoga is the one which is also born in India and spread all over the world now, he further added.
    The Minister of State for AYUSH, Shri Shripad Yasso Naik has said that his Ministry has put in all the efforts to Universalize Yoga. Yoga is not related to one region or religion, but it relates to entire universe and Yoga cannot be treated as a tool to lead a healthy life, but it should be treated as a tool to live a happy life, he added.

    Earlier, the Union Home Minister, Shri Rajnth Singh has launched the 'Scheme for Voluntary Certification of Yoga Professionals' recognizing that Quality Council of India (QCI) has expertise in developing such quality framework based on international best practices.
    Sister Shivani of Brahmakumaris, Sadhguru of Isha Foundation, Dr. Pranav Pandya, Scientific Spiritualist, Secreatary AYUSH, Shri Nilanjan Sanyal and senior Government officials have participated in the programme.

    "Doing anything with attention to how you feel is doing yoga." -

    Biz houses should increasingly introduce yoga under employees wellness programs : FICCI 

    Thesynergyonline Health Bureau

    NEW DELHI, JULY 22 :
    FICCI along with its entire membership congratulates the Government of India and the Ministry of Ayush for arranging such a landmark event on International Yoga Day under the able leadership of Hon'ble Prime Minister Shri Narendra Modi. The catalyzing effect was very much evident all across the globe.

    Dr. A. Didar Singh, Secretary General, FICCI said, "This mass participation has shown peoples' deep faith in Yoga and the importance of this ancient art of wellness. There is a need to make Yoga popular in the workplace also. Business houses should increasingly introduce Yoga under their employee wellness programs for stress management and general well-being of their workers. We would remain committed towards the cause of promoting preventive healthcare initiatives including YOGA".

    "FICCI's National Wellness Committee promotes benefits of implementing Preventive Healthcare measures including YOGA, among corporates to improve productivity and efficiency among employees. Workplace wellness initiatives, including Yoga, can lead to a better performance of an organization" Dr. Singh added further.

    Mr. Sandeep Ahuja, Chairman of FICCI National Committee on Wellness and Managing Director of VLCC Health Care Ltd. Stated, "Yoga has the power to transform. It can elevate the quality of your life by nourishing the mind, body and soul. The government's effort will help take yoga to the world – where it does not already exist – and also bring about a much-needed resurgence in the country".

    "India has one of the youngest populations in the world & increasingly Indian consumers are taking charge of their health by consciously eating healthy & staying fit. Wellness is a state of holistic health and Yoga plays an important and integral role in achieving an overall state of well-being", said Mr. S. Subramanian, CEO of Kaya India and Co-chair of FICCI Nat

    "You should sit in meditation for 20 minutes unless you're are too busy then you sit an hour ." - Old Zen saying

    'Yoga is necessary to achieve complete
    health –physical, mental, social'

    Thesynergyonline Health Bureau

    NEW DELHI, JUNE 21 :
    "Yoga allows you to rediscover a sense of wholeness in your life, where you do not feel like you are constantly trying to fit broken pieces together."

    So the Union Minister for Science and Technology and Earth Sciences, Dr Harsh Vardhan, appealed to India's youth to embrace the "Yoga life" for ensuring themselves a lifetime of mental and physical fitness.

    Addressing students of Indian Institute of Technology (IIT) in Kharagpur on Sunday, the Minister said, "I am a man of science and a surgeon by training in the allopathic branch of medicine. I assure you Yoga does not contradict science –it is science. I invite you young budding engineers to experiment with Yoga because soon you will realise that it qualitatively enhances your productivity, apart from making you a more sociable and healthy person."

    He recalled being one among an elite group of participants at World Health Organisation (WHO)'s Kobe meeting of policy makers in 2000. "There was consensus that health is a state of physical, mental, social and spiritual well being of an individual, not merely freedom from disease and infirmities. To achieve that the world's leading policy makers struck a consensus on Yoga being one of the potential indigenous solutions," he stated.

    Dr Harsh Vardhan told the assemblage. "As engineers you must be aware that Germany is the world's largest exporter of engineering goods. They make engines of the most superior quality there. What you perhaps didn't know is that in Germany's leading technological universities, students are introduced to Yoga and Sanskrit because they have found out that it makes young minds more creative and innovative for greater scientific productivity."

    Hundreds of students, teachers and staff turned out for a special event at the campus on the occasion of the first United Nations "World Yoga Day". The Minister's presence bolstered their enthusiasm and they responded positively to the inherent message in the Prime Minister's campaign, to popularise yoga on an unprecedented global scale. The eminent Yoga practitioner from Allahabad, Swami Anand Giri, gave a highly invigorating lecture with demonstrations on Yoga asanas.

    Dr Harsh Vardhan said, "Yoga is India's greatest and oldest gift to the world. It is not a ritual, but a scientific expression. Western medical science has woken up to the goodness of yoga as it treats the person behind the disease, not just the symptoms. Yoga also produces unique mental stability, makes a person more balanced in his perception and in Australia it is taught to prison inmates because it replaces the criminal mindset with positive energy."

    The Minister pointed out that former Prime Minister Atal Bihari Vajpayee had mainstreamed Yoga into the country's public system. Under Prime Minister Narendra Modi's leadership, a separate ministry has been created for Yoga –as part of AYUSH. It is part of the premier hospital system of the country –AIIMS – in six cities of India.

    "You are the cream of our student community. I am sure that Yoga has seated itself in your already deeply scientific consciousness. Let it be the fulcrum and guide your creative spirit. That is why this term 'Yoga Life' has been created," he said.

    Dr Harsh Vardhan expanded the term –"Yoga Life" – to cover humankind's responses to the problems bedevilling mankind and the future of the planet.

    "Yoga is about unity – of the sun and the moon within you. If you take up the Yoga life, your body retains all the vigour of youth while your mind matures to absorb the concerns that shape progress. This happens only in individuals today, but once the Yoga Life becomes the establishment you will see remarkable changes in every sphere of society," he said.

    The Minister also attended a large camp organised in Kharagpur town by the Nehru Yuva Kendra and Patanjali Peeth. Hundreds of people turned up in response to the Prime Minister's call to celebrate the goodness of Yoga.

    Dr Harsh Vardhan said, "The people of Bengal have a rich tradition in Yoga. Sri Aurobindo devoted his life for Yoga. His life is for all the highest expression of Yoga. If only we follow a small part of his example, the country will surely achieve its maximum potential."

    He recalled the great propagation of Yoga's wellness on an international scale by Paramahamsa Yogananda, another great Yogi from Bengal, in the first half of the 20th century.
    "The Autobiography of a Yogi", written by Yogananda in the early 1940s is one of the greatest bestsellers of the 20th century. Dr Harsh Vardhan urged huge audience to read the book as it is believed to have transformed many lives.

    He said, "The great American president, Calvin Coolidge, embraced the Yoga Life after meeting Parmahamsa Yogananda. He became the United States' premier Yogi and following his example thousands of ordinary Americans turned to Yoga. A huge Yoga centre was established in Los Angeles which still thrives."

    Earlier, on Saturday, Dr Harsh Vardhan, visited the "Science and Technology Museum" within the campus of IIT Kharagpur. He was shown around the place by Dr Partho Chakrabarti, Director, and was impressed with its remarkable exhibits showcasing the products of the research of the eminent seat of learning and inquiry.

    This was followed by a brainstorming session with the Director and Deans of different departments. He said that though IIT-Kharagpur was a leading centre of research under the IIT system, there was need for greater coordination and greater synergy with laboratories under the Centre of Scientific and Industrial Research (CSIR), Department of Science and Technology (DST), Department of Biotechnology (DBT) and Ministry of Earth Sciences (MES).

    Dr Harsh Vardhan remarked, "I see here that you are implementing projects of international value, and some are even sponsored by CSIR, DST, DBT and MoES. I think that there should be better networking and more sophisticated coordination between the IIT system and the laboratories under the Ministry of Science and Technology."

    "Sitting (in a comfortable position) and concentrating the mind on a single object, controlling the thoughts and the activities of the senses, let the yogi practice meditation for self-purification. _ The Bhagwad Gita (6.12)

    Yoga creates healthy mind, healthy
    body: Sarbananda Sonowal

    Thesynergyonline Sports Bureau

    NEW DELHI, JUNE 21 :
    "What does Yoga science mean to you? When people talk about Yoga they often think it has something to do with the physical being only. Yoga is a science that deals with body, breath, mind, soul, and ultimately, the universe itself. It is both practical and theoretical."

    And so the First International Yoga Day, which was celebrated across the globe on Sunday with the theme "Yoga for Harmony and Peace" was organized in a solemn yet colourful manner in Guwahati. Nehru Yuva Kendra Sangathan (NYKS), National Service Scheme (NSS) and Sports Authority of India (SAI) jointly organised the event under the aegis of the Ministry of Youth Affairs & Sports, Government of India .
    The programme, which registered a record turn-out of over 10,000 people from different walks of life, was held at the AAU Veterinary College Ground, Khanapara, Guwahati, began with a Yoga demonstration by the participants conducted by the Assam School of Yoga, which was followed by meditation and prayers for international brotherhood, peace, harmony and good health.

    Addressing the participants, Union Minister of State (Independent Charge), Youth Affairs and Sports Shri Sarbananda Sonowal congratulated the Prime Minister Shri Narendra Modi for taking the initiative to get United Nations declare June 21 as International Yoga Day.

    Mr Sonowal in his speech also underlined the importance of Yoga in building a health body and healthy mind, which in the process would lead to a healthy society and health nation. He said,while everybody wants a healthy body and healthy mind, it is through simple yoga for a few minutes every day that can make a person healthy both in body and mind. While yoga has been a part of Indian culture since time immemorial, the nation must thank Prime Minister Shri Narendra Modi for having brought international recognition to it. It is a great moment of pride for India that 193 countries across the globe are observing the First International Yoga Day.

    Mr Sonowal also congratulated the people of Guwahati for turning up in large numbers for the International Yoga Day, and particularly referred to the hard work put in by officials of NYKS, NSS and SAI in this regard. Delegations of youth and students who took part in the programme came from various institutions including Guwahati University and several Technical education institutes and social organisations.

    Later, inaugurating a Youth Convention organized on the occasion of the First International Yoga Day, Governor of Assam and Nagaland Shri P B Acharya, lauded the efforts of Prime Minister Narendra Modi in taking Yoga to the international arena.

     

     

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