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Medical Voice 2nd December 2019

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Dr KK Aggarwal    02 December 2019

Remember the CMAAO - UU Campaign

  • Having an undetectable viral load when on HIV treatment (ART) also stops HIV transmission
  • For > 20 years it is known that ART reduces HIV transmission but now it is clear that the risk is not just reduced but stopped completely.
  • ART protects your partners.
  • You don’t need to use condoms if you were only using them to stop HIV provided you take ART every day and have undetectable viral load for at least three months and continue to take meds without missing doses.
  • The evidence for U=U comes from studies with both gay and straight couples, and for all types of sex.
  • There should be no doubt that a person with sustained, undetectable levels of HIV in their blood cannot transmit HIV to their sexual partners.

Healthcare News Monitor

 

Ketamine - popular as a recreational drug, can help cure alcohol addiction, says a study

Times Now

Most people know Ketamine as an illegal drug. Ketamine was introduced 50 years ago as an anaesthetic and was used commonly as a horse tranquiliser. However, recently, the uses of ketamine have been explored and it has been found to have medicinal effects for certain mental health disorders. Used as a recreational drug at one point, ketamine is now proven to be a remedy for depression, PTSD, migraines, and even alcohol addiction, now, a recent study has found. The study, conducted by researchers from the University College, London, headed by Ravi Das, found that a single dose of ketamine can help people with alcohol addiction to cut down their alcohol addiction in half. It was also found that the remedy could prove helpful for other addictions as well. The researchers of the study explained in a press release that people develop drug or alcohol addictions because the substances exploit their brains reward-learning system. This can lead to people associating the substance with certain environmental triggers, and when a person is faced with the triggers, he/she has an urge to drink.

Pharma Majors Offer Smartphones, Foreign Trips, E-Vouchers to Doctors to Push Products: Study

News Click

Calling for stringent marketing regulations for pharmaceutical companies, a report by a health rights organisation has brought to light some startling aspects of the tactics deployed by these companies to put “tremendous pressure” on medical representatives to push their products in the market via doctors. “From high value gifts like smartphones costing ₹80,000, microwave ovens, tablets, silver items, gold jewellery to petro-cards, credit cards, e-vouchers for online shopping are trends in promotional practices among doctors,” the study said, as reported by Hindu Business Line. The study, which surveyed medical representatives across six cities, even suggested women being offered by some pharma companies, says a Times of India report. In its report on pharmaceutical marketing practices, Support for Advocacy and Training to Health Initiatives or SATHI, which works on health rights issues through civil society partnerships, such marketing malpractices by pharma majors are rampant in India What’s more, the medical representative respondents also disclosed that the pressure on them was “tremendous” adding to their stress levels as they were “tracked by their supervisors using iPads.” Medical representatives also cited that only 10-20% doctors follow the MCI code of ethics, while in some cases doctors even demand “incentives” to push a product. Noticeably, all this is happening even as the Union government still sits on a 2016 proposal to enforce a uniform marketing practices code for pharma companies, entailing stringent penalties. “A year and a half ago, a draft of regulatory codes which was sent to Law Ministry to reign in unethical practices under Essential Commodities Act was rejected. Yet, the Ministry of Health in a reply to a Right of Information (RTI) report said that the draft was being discussed,” Amitava Guha, co-convenor of Jan Swasthya Abhiyan, told Hindu Business Line.

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