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Td replaces TT by year end, Doctor charged with sexual battery in US cannot practice in Delhi

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Dr KK Aggarwal    17 August 2018

Morning MEDtalks with Dr KK Aggarwal 17th August 2018

Former Prime Minister Shri Atal Bihari Vajpayee passes away

 

One should learn to fight illness like Shri Atal Bihari Vajpayee

Former Prime Minister Shri Atal Bihari Vajpayee passed away yesterday at the age of 93 years. He had been in a critical state and was on a life support system. He had been undergoing treatment at AIIMS, New Delhi since June 11 this year for chest congestion, urinary tract infection and low urine output.

The 93-year-old former prime minister had one kidney, prostate cancer and he had developed dementia following a stroke in 2009. He also had long-standing diabetes.

Shri Vajpayee, who became India’s prime minister thrice was conferred the Bharat Ratna, Indias highest civilian honor, by the President of India in 2014.

A Parliamentarian for more than four decades, he was loved and respected by all, his colleagues and political foes alike.

A poet, orator par excellence and a true statesman, Shri Vajpayee had been a fighter all his life and had been ‘atal’ in his battle against his illnesses.

The power of inner strength is tremendous. Inner strength gives us resilience to fight the many battles that life throws our way.

One should learn to fight illness like Shri Atal Bihari Vajpayee. May his soul rest in peace…

Td replaces TT by year end

 

Government of India

Ministry of Health & Family Welfare

Nirman Bhavan, New Delhi – 110011

DO No, T-22011/01/2017-Imm, Dated: 14th August 2018

Vandana Gurnani, IAS: Joint Secretary

 vandan.g@ias.nic.in

Dear Mission Directors

As per recommendation of National Technical Advisory Group on Immunization (NTAGI), Government of India has decided to replace Tetanus Toxoid (TT) vaccine with Tetanus and Adult Diphtheria vaccine (Td) in the Universal Immunization Programme.

This vaccine will give protection against both tetanus and diphtheria in adults. At present TT booster doses at 10 and 16 years of age and 2 doses of TT or single booster dose TT is given to pregnant women. These will be replaced by Td vaccine towards this year end. In this regard, the states will need to plan training of health worker, medical officers and programme managers for ensuring its smooth implementation. The commencement of supplies of Td vaccine will begin soon and IEC materials, training packages etc. will be shared in due course of time.

I request you to kindly direct the concerned officials to take note of this upcoming development and make the required preparations. I am sure with your constant support as always, we will be able to expand the coverage of the vaccines and protect our Nation against vaccine preventable diseases more than ever.

 

US recommendations

  1. Administration of the diphtheria-tetanus-acellular pertussis (DTaP) vaccine is routinely recommended in children, with a single booster dose of a vaccine containing tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) recommended for 11- to 12-year-olds, followed by tetanus toxoid and the reduced diphtheria toxoid in the form of Td recommended at 10-year intervals throughout life
  2. Immunity to tetanus and diphtheria continues to wane among adults
  3. ACIP recommends a single dose of a vaccine containing tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) 0.5 mL intramuscularly [IM] in place of Td for all adults aged 19 years and older who have not received Tdap previously to address waning immunity against pertussis.
  4. The ACIP recommends that all pregnant women receive vaccination against pertussis with Tdap during each pregnancy.
  5. Regardless of prior tetanus and diphtheria immunization, Td immunization should be reviewed when anyone presents with an acute injury or wound
  6. If there is any doubt about whether or not an adult received the primary series, three doses of Td should be administered; the first dose and second dose should be separated by four weeks and the third dose should be given 6 to 12 months later.

Delhi HC: Doctor charged with sexual battery in US cannot work here 

Dr N K Gupta who was charged with aggravated sexual battery in the US and subsequently started a private practice in India, will not be able to run his clinic anymore, as the MCI has permanently erased his name from its list.

The MCI decision was upheld by the Delhi High Court. Dr Gupta had agreed to special conditions negotiated by him, because of which the sentence awarded to him in the US was suspended. On May 9, 2017, The Indian Express published a report that the doctor, barred from practising by a US court in 2011, was seeing patients in India.

The HC took suo moto cognizance of the report and ordered an enquiry. Subsequently, the DMC conducted an enquiry and rejected his request for renewal of registration. The MCI also commenced proceedings against Gupta, and permanently erased his name from the Indian Medical Register. Gupta then moved the HC against the DMC and MCI’s January 2018 order. His counsel claimed the order amounts to executing the order of a Foreign Court, which is not permissible.

MCI’s counsel opposed the doctor’s claim and said “the petitioner had voluntarily accepted that he would not practice medicine in any form within the US or any other country”.

Agreeing with the findings of the MCI, Justice Vibhu Bakhru said, “It is on this condition (which was voluntary accepted by the petitioner) that the sentence awarded to the petitioner was suspended…”

Gupta was charged with aggravated sexual battery for allegedly penetrating a patient with his finger during a pelvic exam at his clinic in Atlanta in 2009. (Indian express)

Lessons learned from Dr Bawa-Garba case

  1. Junior doctors successful appeal against being permanently struck off the medical register.
  2. Three senior judges at the Court of Appeal quashed an earlier decision by the High Court, supported by the General Medical Council (GMC), that Dr Bawa-Garba should be permanently struck off the medical register. They agreed instead with the Medical Practitioners Tribunal Service (MPTS) that a 1-year suspension was more appropriate.
  3. Say sorry: Dr Bawa-Garba said she was sorry for her role in the death of 6-year-old Jack Adcock. She added: "I hope that lessons learnt from this case will translate into better working conditions for junior doctors."
  4. Dr Ramesh Mehta, president of the British Association of Physicians of Indian Origin: “The case has exposed issues of diversity within medical malpractice claims”.
  5. Dr Adrian Harrop: Were not arguing that Bawa-Garba is not responsible. Bawa-Garba herself has accepted that she is – at least – partly responsible for the outcome of this case. But there are systemic factors at play here. And I think thats a major point that we need to get out of this case: how much are we going to place the responsibility on the shoulders of the corporate leaders of these organisations? Who ultimately are the ones who take responsibility for the rota gaps, for wards being understaffed, for the use of locums, for the use of agency nurses, and for checking peoples suitability for being in that workplace? (Medscape)

 

Around the globe

  1. “There is no evidence of a Ventricular assist device being dislodged by chest compressions. The intervention can be lifesaving. CPR gives a VAD patient in cardiac arrest a 50 percent chance of survival. Without CPR, VAD patients in cardiac arrest will die.
  2. The MCI will begin installing CCTV cameras in classrooms, laboratories and out-patient departments of all medical colleges and associated hospitals by the end of this month as part of measures to weed out “ghost” and absent faculty. The initiative is a part of MCI’s Digital Mission Mode Project (DMMP). All regulatory mechanisms will be online to ensure professors turn up to teach and train students. The MCI’s attempts to make biometric attendance compulsory for teaching staff in medical colleges last year had failed. “People did not regularly mark attendance and in some cases, the machines were found broken and not repaired. Installing CCTVs should help. (HT)
  3. Health officials across the US are monitoring the spread of measles across 21 states, according to the Centers for Disease Control and Prevention. According to CDC, there have already been 107 cases reported this year. The majority of those cases were in people who were not vaccinated.
  4. In its first country report submitted to WHO’s Global Antimicrobial Resistance Surveillance System (GLASS), India has acknowledged the growth of carbapenem-resistant strains in tertiary care settings at home. Carbapenem resistance is increasing every year at a very high rate of five to 10 per cent. Overall, the rate of antibiotic resistance to carbapenems in Indian tertiary care settings is anywhere between 50 to 70 per cent.”

 

Video to watch: Dr KK Aggarwal on TEDx Talks: Doctor-patient relationship at: https://www.youtube.com/watch?v=i9ml1vKK2DQ 

 

Dr KK Aggarwal

Padma Shri Awardee

President HCFI

Vice President CMAAO

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