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Morning Medtalks with Dr KK Aggarwal

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Dr K K Aggarwal    15 April 2018

A bench of Justice R.K. Agrawal and Justice Mohan M. Shantanagoudar in Supreme Court expressed concern that "A number of unqualified, untrained quacks are posing a great risk to the entire society and playing with the lives of people," .

"People having no recognised and approved qualifications, having little knowledge about the indigenous medicines are becoming medical practitioners and playing with the lives of thousands and millions of people. Sometimes such quacks commit blunders and precious lives are lost."

Even after 70 years of Independence, "people having little knowledge or no recognised or approved qualification are practising medicine".

"The government has been vigilant all along to stop such quackery.

" Holding that the right to practise any profession or to carry on any occupation, trade or business is no doubt a fundamental right guaranteed under the Constitution, it said: "But that right is subject to any law relating to the professional or technical qualification necessary."

Are we short of doctors in India? No.  India has a doctor population ratio of 1:921 as of December 2017 and has a national average of six doctors for every 10,000 people.  Tamil Nadu is way ahead of the national figures with eight doctors per 10,000 people and Chennai has more than 18 doctors per 10,000. The national average ratio of 1:921 includes all recognised systems of medicine (Including AYUSH)

Why all blood cultures are not same? Specimens from sterile sites are inoculated onto enriched all-purpose media such as blood or chocolate agar; most ordinary bacterial pathogens grow readily on these nonselective solid media. But specimens from nonsterile sites that contain mixed microbial flora should also be inoculated onto MacConkey media. Selective media are used to inhibit the growth of commensal colonizing bacteria.

Rose Acre Farms of Seymour, Indiana, recalled 205,749, 248 eggs possible contaminated with Salmonella Braenderup, which can cause fever, diarrhea, nausea, vomiting, abdominal pain, and other ailments, including death. The eggs were distributed from the farm in Hyde County, North Carolina and reached consumers in the following states: Colorado, Florida, New Jersey, New York, North Carolina, Pennsylvania, South Carolina, Virginia, and West Virginia through retail stores and restaurants. So far, 22 illnesses have been reported to date. Hyde County farm, which produces 2.3 million eggs a day. The facility includes 3 million laying hens. We in India need to learn lessons from this.

In US nontyphoidal salmonellosis is one of the leading causes of foodborne disease. Salmonella enteritidis and Salmonella typhimurium are the most common. Salmonella is most commonly associated with ingestion of poultry, eggs, and milk products. However, nontyphoidal salmonellae have also been associated with fresh produce, meats, and other foodstuff, as well as contact with pets, including reptiles, and other animals.  Both chicken and egg consumption are risk factors for nontyphoidal Salmonella infection. Salmonellae can be passed transovarially from chickens to intact shell eggs, Thus, single, intact, normal-appearing eggs can transmit infection.

The US FDA has said that romaine lettuce grown in the Yuma, Ariz., region, near the border to Southern California, may have caused the recent outbreak of Escherichia coli. The majority of them reported that they ate romaine lettuce within a week before they became sick. E. coli are a type of bacteria found in undercooked beef, raw milk, soft cheeses made from raw milk, raw fruits and vegetables, and contaminated water. Most E. coli bacteria are not harmful, but one type known as E. coli O157:H7 produces a toxin called Shiga, which destroys red blood cells, causes kidney failure and bloody diarrhea. Other kinds of E. coli cause urinary tract infections, respiratory illness and pneumonia. The lettuce is available in India.

A government project to control malaria in Odisha in four districts of the state—Angul, Dhenkanal, Kandhamal and Dolangir has resulted in a decline of 85 per cent in the average number of malaria cases in a month. In 2017, the state reported 3,52,140 cases and 25 deaths. In 2016, the number of deaths stood at 77, and the number of cases were 4,49,697. WHO protocol of Test-Treat-Track, that urges malaria-endemic countries to "scale up diagnostic testing, treatment and surveillance" was followed.

Dr A K Merchant from Bhai Faith to be the convenor cum advisor of 25th Year of the Perfect Health Mela all religions faith seminar to be held from 24th to 28th October 2018 at Talkatora Stadium.

Maximum temperatures are in general near/below normal over most parts of the country. The present meteorological analysis & Numerical model guidance indicates, rise in maximum temperatures over Northwest, West & East India by 2-4°C during next 4-5 days, however, Heat wave conditions would not occur over any part of the country during next 4-5 days.

QUOTE OFTHE DAY: Believe that everything is a possibility, and then ask what you need to do to make it a reality. Lauren McGoodwin,

We want to interview the oldest practicing doctor in the country. Any clues?

Dr KK Aggarwal

Padma Shri Awardee

Vice President CMAAO

President HCFI

emedinews@gmail.com

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