Obesity – the silent killer on raise in Bengaluru

Obesity – the silent killer on raise in Bengaluru

Obesity known as the silent killer is on raise in namma Bengaluru.  What we need for a healthy life is just 30 per cent of what we eat, and another 70 per cent of what we eat only invites obesity and other diseases.

Obesity and mental health are interlinked. 

What some people may not realize is that obesity can also take a toll on mental and emotional health, making daily activities like socializing, dating and even traveling more challenging.

Taking steps to lose weight by making lifestyle adjustments could help ease the mental and physical burden associated with the condition.

What is obesity?

Junk food cause of Obesity

Obesity is a medical condition in which excess body fat has accumulated to an extent that it may have a negative effect on health.  People are generally considered obese when their body mass index (BMI), a measurement obtained by dividing a person’s weight by the square of the person’s height, is over 30 kg/m2 ; the range 25–30 kg/m2 is defined as overweight.

Obesity is most commonly caused by a combination of excessive food intake,  lack of physical activity, and genetic susceptibility.  A few cases are caused primarily by genes, endocrine disorders, medications or mental disorder.

Effects of obesity :

Obesity effects on human body

Obesity is a complex disorder involving an excessive amount of body fat. Obesity isn’t just a cosmetic concern. It increases your risk of diseases and health problems, such as heart disease, diabetes and high blood pressure.

Excessive body weight is also is associated with various diseases and conditions, particularly cardiovascular diseases, diabetes mellitus type 2, obstructive sleep apnea, certain types of cancer, osteoarthritis and asthma. As a result, obesity has been found to reduce life expectancy.

Public health :

The World Health Organisation (WHO) predicts that overweight and obesity may soon replace more traditional public health concerns such as under-nutrition and infectious diseases as the most significant cause of poor health.  Obesity is a public health and policy problem because of its prevalence, costs, and health effects.

Public health efforts seek to understand and correct the environmental factors responsible for the increasing prevalence of obesity in the population. Solutions look at changing the factors that cause excess food energy consumption and inhibit physical activity.

Management of Weight gain :

The main treatment for obesity consists of dieting and physical exercise.  Diet programs may produce weight loss over the short term,  but maintaining this weight loss is frequently difficult and often requires making exercise and a lower food energy diet a permanent part of a person’s lifestyle.

In the short-term low carbohydrate diets appear better than low fat diets for weight loss.  In the long term; however, all types of low-carbohydrate and low-fat diets appear equally beneficial.  

Causes of Weight Gain and Obesity :

Obesity is one of the biggest health problems in the world.  It’s associated with several related conditions, collectively known as metabolic syndrome.

The factors that are leading causes of weight gain, obesity and metabolic disease are :

  1. Genetics – Some people appear to be genetically susceptible to weight gain and obesity.
  2. Engineered junk foods – Stores are filled with processed foods that are hard to resist. These products also promote overeating.
  3. Food Addiction – Some people experience strong food cravings or addiction. This especially applies to sugar-sweetened, high-fat junk foods which stimulate the reward centers in the brain.
  4. Aggressive marketing – Food producers spend a lot of money marketing junk food, sometimes specifically targeting children, who don’t have the knowledge and experience to realize they are being misled.
  5. Insulin – High insulin levels and insulin resistance are linked to the development of obesity. To lower insulin levels, reduce intake of refined carbs and eat more fiber.
  6. Certain medications – Some medications may promote weight gain by reducing the number of calories burned or increasing appetite.
  7. Leptin resistance – Leptin, an appetite-reducing hormone, doesn’t work in many obese individuals.
  8. Food availability – In some areas, finding fresh, whole foods may be difficult or expensive, leaving people no choice but to buy unhealthy junk foods.
  9. Sugar – Scientists believe that excessive sugar intake may be one of the main causes of obesity.
  10. Misinformation -. Misinformation may contribute to weight gain in some people. It can also make weight loss more difficult.

What foods should an obese person avoid?

What to Eat –

Food Pyramid to avoid obesity

Choose minimally processed, whole foods:

  • Whole grains (whole wheat, steel cut oats, brown rice, quinoa)
  • Vegetables (a colorful variety-not potatoes)
  • Whole fruits (not fruit juices)
  • Nuts, seeds, beans, and other healthful sources of protein (fish and poultry)
  • Plant oils (olive and other vegetable oils)

Drink water or other beverages that are naturally calorie-free.

Limit these foods and drinks:

  • Sugar-sweetened beverages (soda, fruit drinks, sports drinks)
  • Fruit juice (no more than a small amount per day)
  • Refined grains(white bread, white rice, white pasta) and sweets
  • Potatoes (baked or fried)
  • Red meat (beef, pork, lamb) and processed meats (salami, ham, bacon, sausage)
  • Other highly processed foods, such as fast food

How does weight affect mental health?

A new study showed that a weight-loss intervention can help overweight and obese people with serious mental illnesses—such as schizophrenia, bipolar disorder and major depression—lose significant weight and keep it off. Medications to help control mental illness symptoms can increase appetite and encourage weight gain.

Link between obesity and mental health :

The link between mental health and obesity is complex and may vary based on individual like age, gender, race, ethnicity and culture or structural like nationality and region characteristics. Age may influence mental health causes or consequence of obesity and may moderate the mental health-obesity link.

Early adolescence and late adolescence are very different in terms of cognitive and social functioning.  Analysis of a nationally representative sample of adolescents in grades 7-12 who had participated in the National Longitudinal Study of Adolescent Health suggested that only among the youngest adolescents, a significant link could be found between overweight and obesity on depression.

People are living longer than ever before, and paradoxically, that brings more problems.  Family dynamics and stress play an integral role in mental health. Extended families are not as geographically close today as in the past. Adult children are leaving home later, and their greater dependence on their parents contributes to more problems for everybody involved.

What is happening in Bengaluru ?

Obesity is slowly engulfing Bengaluru.  For every 10 Bangaloreans, 4 are obese.  The reasons are rapid urbanization, transformation to metro, lifestyle alteration and poor diet.

Obesity mainly is a result of changes in diet and physical activity. In the city the rise in obesity is due to factors known as the ‘nutrition transition.’ Urban areas, being much further along in the transition than rural areas, experience higher rates of obesity.

The city offer a greater range of food, usually at lower prices, and city work often demands less physical exertion than rural work.

The need of the hour is getting committed to a healthy way of life by eating low calorie diet and doing regular exercises for the rest of one’s life.

HEAL YOUR GUT!

HEAL YOUR GUT!

Indigestion,lack of clarity/ brain fog, Tiredness, Migraines, IBS..Does it sound familiar?  Is your gut health blocking you from being a peak performer?    I was far from fine.There was a time in my life when I faced severe digestive issues due to food sensitivities. Apart from the above symptoms, I had severe migraines,depression and anxiety.Several Doctor visits,tests, scans and medicines only emptied my pocket. I was misdiagnosed! I was put on to Anti depressants and other medications for several years. There were a lot of side effects involved with them and my health started deteriorating and progressively became worse. Years passed, I got more disheartened.   
Unable to find answers from doctors, I went bio hacking to look into my biochemistry. I was determined to fix the underlying issues. I knew there was a different way to achieve my goals to become healthy.To get to the root cause and fix the issue, I explored further into acquiring more knowledge and found fascinating information driven by science and research. It has had great impact on my lifestyle.
What we often fail to recognize is that our environment has changed but our thinking hasn’t. Genetically modified grains due to modern agriculture is the culprit behind increase in these epidemics!  The single most important thing we can do is caring for our gut.There are some kinds of food that trigger responses for most people.
I was absolutely astonished to discover that cutting out gluten and Dairy from my diet magically erased all my symptoms with in few days!
One of the most widely used whole grain is wheat which has many different components to it. Proteins, Carbohydrates and fats.Gluten is a protein complex found in Wheat, barley,rye and triticale.Most of the people who suffer from Gluten sensitivity are not aware and are often undiagnosed.
 Gluten has a huge impact on our auto-immune system. It causes the immune reaction which affects the brain,causing Brain fog, mood swings,inflammation in the cells, Leaky gut hence increases the risk ofanemia, acne outbreaks, diabetes,obesity,thyroid dysfunction and several health issues…There is also a component of wheat called FODMAP’s a collection of short-chain carbohydrates found in many common foods that causes the gut problems.
Since my gut could not tolerate Gluten, completely eliminating it from my diet,also reducing nutrient poor and calorie rich foods and changing the lifestyle was the key for my happy tummy. Being patient, it took at least six months of complete transition off that crap that produces notorious fat in the mid section and creates health issues.
For those who are facing similar issues,track the body responses to food for a week. Become creative, there are still various food products to choose from.
Here are five steps to start your journey of eating healthy:-
l Replace all white rice, white flour, Sugar, etc to Brown’s.
l Cut back on artificial sweeteners, MSG’s, colors, preservatives etc..Eat healthy home cooked meal.
l Going gluten and dairy free is a great way to reduce inflammation and keep several health issues at bay.
l Eating Wholesome, natural, Gmo free, nutritious and organic foods gives you better health and energy.
l Eat foods to nourish your body not for emotional comfort. Eat what makes you feel amazing and fuels you to be the Best version of yourself.

MRI Scan Centre at Sanjay Gandhi Hospital – Bengaluru

MRI Scan Centre at Sanjay Gandhi Hospital – Bengaluru

MRI Scan centre is now opened at Sanjay Gandhi Hospital, Bengaluru.  After 35 years since its establishment, the Sanjay Gandhi Institute of Trauma and Orthopaedics (SGITO) will finally get its own Magnetic resonance imaging (MRI) scan machine.

MRI uses a strong magnetic field and radio waves to create detailed images of the organs and tissues within the body.

Since its invention, doctors and researchers continue to refine MRI techniques to assist in medical procedures and research. The development of MRI revolutionized medicine.

The Sanjay Gandhi hospital mainly caters to accidents victims, including those with bone-related issues used to refer scanning cases to other government hospitals.

Sanjay Gandhi Hospital :

Sanjay Gandhi Institute of Trauma and Orthopaedics is a Government run autonomous Super Speciality Hospital and Research Institute situated in city of Bengaluru. This is one of the well established Trauma and Orthopaedics centre started by Government of Karnataka in the year 1984 to cater to the poor and needy.

It is one of the few Hospitals in the city of Bengaluru under the Government sector which is routinely doing Knee and Hip replacement surgeries at affordable costs as well as other routine surgeries in Orthopaedics, Plastic Surgery, Facio Maxillary surgery, General Surgery, Neurosurgery, Urosurgery and others surgeries.

Trauma services :

Sanjay Gandhi Institute of Trauma and Orthopaedics is a pioneer in the management of polytrauma cases and complex surgeries. They are experienced in surgeries for acetabular and pelvis fracture fixation, failed and neglected fracture operations, management of non-unions and limb lengthening by Ilizarov external fixator. 

What is MRI Scan ?

MRI Scan or Magnetic Resonance imaging is a medical imaging technique used in  radiology to form pictures of the  anatomy and the physiological processes of the body. 

MRI Scanners use strong magnetic fields, magnetic field gradients and  radio waves to generate images of the organs in the body. MRI does not involve X-rays or the use of ionizing radiation,  which distinguishes it from CT or CAT Scans and PET Scans.

Magnetic resonance imaging is a medical application of nuclear magnetic resonance (NMR). NMR can also be used for imaging in other NMR applications such as NMR Spectroscopy.

MRI Scan machine at Sanjay Gandhi Hospital :

Earlier due to non-availability of MRI Scan facility/Centre at Sanjay Gandhi Hospital patients were referred to either Jayadeva or Victoria hospitals to undergo an MRI scan.

The MRI scan machine is being installed at Sanjay Gandhi Hospital on a public-private partnership model with Bhima Life sciences Llp.

The hospital receives about 250 out-patients and about 10-30 accident cases on an average day, and most of the patients require an MRI scan.

Other facility at Sanjay Gandhi Hospital :

The government had sanctioned Rs 4 crore in 2016-2017 to set up a modular high-tech operation theatre (OT) at the institute. This will enable the hospital to perform total knee replacement at a subsidized cost.

The institute will also be able to perform robotic surgery in the next six months as the tendering process will begin to procure the equipment. According to  Dr.Chandrashekhar said doctors were already trained to perform robotic surgeries.

A branch of the institute, a 100-bed hospital, will also be set up in Vijayapura to cater to the needs of people of North Karnataka.

Uses of MRI Scan :

Magnetic resonance imaging (MRI) uses a large magnet and radio waves to look at organs and structures inside your body. Health care professionals use MRI scans to diagnose a variety of conditions, from torn ligaments to tumors. MRIs are very useful for examining the brain and spinal cord.

MRI gives very detailed pictures of soft tissues like the brain. Air and hard bone do not give an MRI signal so these areas appear black. MRI can be used to detect brain tumors, traumatic brain injury, developmental anomalies, multiple sclerosis, stroke, dementia, infection, and the causes of headache.

Fast facts on MRI scanning :

  • MRI Scanning is a non-invasive and painless procedure
  • Raymond Damadian created the first MRI full body scanner, which he nicknamed the Indomitable
  • The cost of a basic MRI Scan starts at Rs.10,000 to Rs.25,000 but can exceed several thousands.
  • Japan has the most MRI Scanners per capita, with 48 machines for every 1,00,000 citizens. 
Side Effects :

It is extremely rare that a patient will experience side effects from an MRI scan.

However, the contrast dye can cause nausea, headaches and pain or burning at the point of injection in some people. Allergy to the contrast material is also seldom seen but possible, and can cause hives or itchy eyes.

People who experience claustrophobia or feel uncomfortable in enclosed spaces sometimes express difficulties with undergoing an MRI scan.

Hypertension – 40% hike in youngsters – Bengaluru – World Hypertension day

Hypertension – 40% hike in youngsters – Bengaluru – World Hypertension day

Hypertension or BP is on rise in youngsters at Bengaluru.  There is a 40% hike.  Rising obesity in young people is causing lifestyle diseases.  40% of them suffer from or are suspected to shown symptoms of blood pressure fluctuations. 

May 17 is the World Hypertension Day’.

Highlights :

  • Hypertension of high blood pressure shows no symptoms
  • Foods high in potassium can be beneficial for people with hypertension

World Hypertension Day :

The theme of World Hypertension Day 2019 is “Know your numbers.” The theme is meant to raise awareness about high blood pressure in people across the world. The idea is to make sure to check blood pressure regularly and know  numbers in order to necessary action on time.

Knowing numbers is important because high blood pressure is a condition which does not show any particular symptoms.  Anybody  can have high blood pressure for years and not know about it because it causes no symptoms.

Even without visible symptoms, high blood pressure can cause damage and lead to fatal conditions like heart attack and stroke.

Blood Pressure or Hypertension :

Hypertension is another name for high blood pressure. It can lead to severe complications and increases the risk of heart disease, stroke, and death.

Blood pressure is the force exerted by the blood against the walls of the blood vessels.  Un-managed hypertension can lead to a heart attack, stroke, and other problems.

Warning signs of hypertension :

High Blood Pressure (HBP) or hypertension is often referred to as the “silent killer” because there are no symptoms. Many people do not find out that they have high blood pressure until they have problems with their heart, kidney, or brain.

Causes of hypertension :

The exact causes of high blood pressure are not known, but several things may play a role, including:

  • Smoking.
  • Being overweight or obese.
  • Lack of physical activity.
  • Too much salt in the diet.
  • Too much alcohol consumption (more than 1 to 2 drinks per day)
  • Stress.
  • Older age.
  • Genetics.

The most common causes of hypertension include smoking, obesity or being overweight, diabetes, having a sedentary lifestyle, lack of physical activity, high salt or alcohol intake levels, insufficient consumption of calcium, potassium or magnesium, a deficiency in vitamin D, stress, aging, chronic kidney disease and adrenal and thyroid conditions or tumors. Some individuals may also be genetically predisposed to hypertension.

Segments of Hypertension :

Hypertension can be divided into 2 segments.  They are essential hypertension and secondary hypertension. 

Essential segment is not connected to any other condition whereas secondary segment occurs because of other health problems related to the adrenaline gland, thyroid or kidney.

Symptoms of Hypertension :

Headaches, fatigue, confusion, dizziness, nausea, vision problems, chest pains, breathing problems, irregular heartbeat and blood in the urine are all symptoms of hypertension.

However, many cases of high blood pressure are asymptomatic, which is why periodic blood pressure screenings are recommended.

Points to remember :

  • Avoiding high-salt and fatty food
  • Practicing mediation to avoid stress
  • Drinking around 4 litres of water everyday
  • Including fruits and vegetables in diet
  • Exercising five times a week.  45 minutes to 1 hour of brisk walking is ideal

Prevention is better than cure :

Healthy Diet. Choosing healthful meal and snack options can help one avoid high blood pressure and its complications. Be sure to eat plenty of fresh fruits and vegetables. Eating foods low in salt (sodium) and high in potassium can lower blood pressure.

Present scenario in Bengaluru :

According to Dr. Chandril Gunashekar, ‘a significant number of 20 year olds are now suffering from hypertension.  The number of cases has increased by 40% in the last 10 years.  Cases of people suffering from diabetes and hypertension is also rising which is scary”.

More and more people are aware of Blood pressure because of increased diagnosis due to health screenings and annual checkups at workplace.

Many youngsters have hypertension due to secondary causes.  High consumption of salt is being one of the reasons as youngsters prefer to eat processed food which is high in salt.

Alternative Medication :

According to Dr.B.T.Chidananda Murthy who is the Chief Medical Officer at Jindal Nature-care that naturopathy is the best solution for the problem.

Under naturopathy the diet includes consumption of lemon water, tender coconut water, ash guard juice and other fruit juices. 

Solid food and uncooked food are avoided.  Eating fruits, salads, vegetables and sprouts are encouraged.  This results in low consumption of salt and fat which in turn helps in weight reduction and high blood pressure.

Consumption of water and other forms of liquid helps in flushing out excess salt naturally.  Starting the day with 4 glasses of water and a minimum consumption of 3 liters of water through the day helps in controlling hypertension.

Avoiding foods rich in starch, high protein and high fat food helps in controlling blood pressure.  The diet must contain mainly seasonal fruits, vegetables and multigrain sprouts.

Bengaluru’s Air pollution Beats New Delhi

Bengaluru’s Air pollution Beats New Delhi

Bengaluru’s air pollution  beats New Delhi.  The Garden City Bengaluru tops the list of major polluting cities in India.  Air Pollution is posing a severe problem in Bengaluru.  The city is getting gritty with particulate matter.  What exactly is blowing around?

Rising levels of particulate matter measuring 2.5 microns (which are fine dust) in the air is making the civic body BBMP (Bruhat Bengaluru Mahanagara Palike) to wake up and take the matter seriously.

The contributing factors are increased industrial activity in the out-skirts and increase in number of vehicles.

Air pollution :

Air pollution has been a cause of worry globally. Vehicular pollution is among those concerns that contributes maximum to air pollution in Bengaluru.

Data indicates that 60-70% of the emissions is said to originate from vehicles. This makes the city the only one in India to be most impacted by vehicular pollution.

An air quality index (AQI) is used by government agencies to communicate to the public how polluted the air currently is or how polluted it is forecast to become.

As the AQI increases, an increasingly large percentage of the population is likely to experience increasingly severe adverse health effects.

How does Bengaluru rate in the Air Quality Index (AQI) ?

Not too good. It has been found that the biggest air pollutant in the city is particulate matter (PM), specifically PM10 and PM2.5. These are tiny, irritant suspensions in the air that tend to enter and cause respiratory and even cardiovascular diseases.

The air has reached a very high level of pollution. Effects can be immediately felt by individuals at risk. Everybody feels the effects of a prolonged exposure.

Reasons for air pollution :

With growing vehicle numbers and resultant congestion and dieselization, air pollution is a growing concern in Bengaluru. The city is losing its inherent advantage of dominant commuting practices – use of bus and walking at the cost of clean air and public health.

Bengaluru needs stringent measures including leapfrogging emissions standards to Euro VI, curbing dieselization, scaling up of public transport, carpooling and walking for clean air.

Walkers and public transport users are inhaling very high pollution in Bengaluru. AC car users are also not safe.  There is a strong variation in exposure depending on the mode of transport.

The open modes like walking, open buses and autos show a very high level of exposure than ambient levels. It is also the dominant approach. Even AC cars with windows rolled up to have as high as 125 micro-grammes per cum. Commuters on sustainable modes are more at risk.

Causes of Bengaluru’s air pollution :

Air pollution has been a cause of worry globally. Economic growth of cities has influenced the spatial patterns of emission sources, directly impacting public health.

Bengaluru’s rapid development and changing landscape followed by lack of planning has led to several urban concerns, with air pollution being a crucial one.

Contributors to air pollution are unique to each city. Vehicular pollution is among those concerns that contributes maximum to air pollution in Bengaluru. 

Data Indicates that 60-70% of the emissions is said to originate from vehicles. This makes the city the only one in India to be most impacted by vehicular pollution.

Central Pollution Control Board :

According to the Central Pollution Control Board, 14 areas in Bengaluru including Central Silk Board Junction, ITPL Whitefield Road and Domlur Circle, which are key commercial areas in the city, have harmful particulate matter levels exceeding the national standards by a significant margin.

A study conducted by Urban Emissions also shows that Bengaluru’s pollution levels at three times the WHO’s safety limit.

Health concerns:

It may be noted that over the last two decades efforts are being made at local levels to assess the health impacts of air pollution. There is enough evidence to act urgently to reduce the public health risks to children, elderly, poor and all.

Bengaluru have to take action now to reverse the trend of short-term effects as well as the long-term toxic effects. For toxic effects to surface, there is a long latency period, therefore, exposure will have to be reduced today.

Addressing air pollution and health risk has assumed greater importance after the release of the global burden of disease that has ranked air pollution as the fifth largest killer.

Studies in Bengaluru shows the health impacts of air pollution, especially on children. Stunning evidence is available on health impacts on traffic policemen who are directly exposed to traffic pollution.

BBMP’s Action to control Bengaluru’s Air pollution :

The Civic body of Bengaluru, BBMP has deployed its team of Assistant Executive Engineers. These engineers are attached with the Road Infrastructure wing to clear the silt and dust deposited on the major and busy roads of Bengaluru.

The Assistant Executive Engineers will be using mechanical sweepers on major roads in 12 high density corridors in the city.  The BBMP will be adding 17 mechanical sweepers.  The civic body already has a fleet of 9 machines.  This helps in covering 1200 km. of arterial roads.

BBMP Commissioner’s statement about Bengaluru’s air pollution :

According to N.Manjunatha, BBMP Commissioner, “due to constant rains and heavy vehicle movement, these roads are littered with silt and debris.  All these days, our Assistant Executive Engineers and Executive Engineers were attending to the potholes and asphalting.  But henceforth, they will also be working to ensure no dust or silt deposits on the road”.

Total length of Arterial roads – 1200 km.

Number of compactors – 25

High density corridors – 12

Number of sweeping machines – 25

Civil engineers to be deployed :  Assistant Executive Engineers – 25                                                     Executive Engineers – 8

Each assistant executive engineers will have 50km. of jurisdiction with one compactor and a mechanical sweeper.  Once the 17 mechanical sweepers arrive, the work will progress steadily.

Lesson’s from New Delhi :

Before spelling specific measures required to tackle the declining quality of air in Bengaluru, it would be worthy to look at the lessons learnt by New Delhi in its attempt to combat air pollution.

In the capital, one could notice that responses to declining air quality came as a knee-jerk reaction yielding measures that were too little too late. Measures such as banning of construction and usage of diesel generators and deployment of green marshals to enforce regulations had little impact on the overall air quality.

These instances indicate that solving air pollution must be a continuous effort supported by vigorous institutions, latest technology, citizen participation and progressive regulations.

The current situation in Bengaluru is an opportunity to address air pollution at an early stage and set the regulatory benchmark for other states to follow.

Why are Regulatory institutions weak to combat Bengaluru’s air pollution ?

The Air Pollution Act of 1981 allows for State Governments to regulate air pollution with the considerations of local factors. Unlike other environmental laws in India, which concentrate powers with the Central Governments, the provisions pertaining to air pollution provide sufficient scope for local authorities to develop innovative regulations.

However due to poor capacity of State level regulatory institutions, local governments have failed to realize the true intent of the law.

The Karnataka State Pollution Control Board (KSPCB) suffers from a deficit of manpower, infrastructure and competence.

Policy and regulatory challenges – Bengaluru’s Air pollution :

Emissions from Vehicular pollution is said to be a key contributor to Bengaluru’s air pollution.  This is evidenced by the fact that Bengaluru is the most congested metro city in the country. 

Some of the important solutions mooted to address the facing challenges includes a strict parking policy and revision of motor vehicle taxes.   

The Karnataka Motor Vehicle Taxation Act 1957, which taxes motor vehicles during the time of registration, currently follows an archaic procedure of taxation. 

The Act makes the size of vehicle a critical component of the tax calculation process. This structure requires urgent revision, with a need to develop a linkage between motor vehicle tax and emission levels.

Conclusion  :

Improving Bengaluru’s Air pollution condition must become a priority- the situation in Delhi must provide authorities sufficient impetus to undertake early course correction.

The first step towards cleaning Bengaluru’s air pollution is to create an enabling environment for course correction and strengthen the decision making institutions. This structure will pave way for preparation of the much needed city wide action plan to combat air pollution.

To know more about air pollution, click on the link https://www.bangalorean.com/blog/air-pollution-karnataka-bengaluru/

World Asthma Day May 7 – Asthma in rise in Bengaluru

World Asthma Day May 7 – Asthma in rise in Bengaluru

World Asthma Day is observed every year on the first Tuesday of May which this year is on May 7.  This year the theme for the day is ‘Stop for Asthma’.

The World Asthma Day is an annual event organized by the Global Initiative for Asthma (GINA) to improve asthma, awareness and care around the world. World Asthma Day takes place on the first Tuesday of May.  The inaugural World Asthma Day was held in 1998

World Asthma Day is an annual event organized by the Global Initiative for Asthma (GINA) to improve asthma awareness and care around the world.

Global initiative for asthma :

The Global Initiative for Asthma (GINA) strives to increase awareness of asthma among health professionals, health authorities, and the general public.

The goals include improving diagnoses, management and prevention of asthma by stimulating research, and providing evidence-based educational resources for worldwide use.

World Asthma Day 2019 –  Theme :

Each year GINA chooses a theme and coordinates preparation and distribution of World Asthma Day materials and resources. GINA also maintains the World Asthma Day Internet Headquarters, where materials and resources are posted for downloading and a complete listing of activities around the world is constantly updated.

This year’s  theme for the day is ‘Stop for Asthma’.  Stop stands for :

S – Symptom evaluation

T – Test Response

O – Observe and assess

P – Proceed to adjust treatment

The first World Asthma Day, in 1998, was celebrated in more than 35 countries in conjunction with the first World Asthma Meeting held in Barcelona, Spain. Participation has increased with each World Asthma Day held since then, and the day has become one of the world’s most important asthma awareness and education events.

What is Asthma ?

Asthma is a breathing problem that affects the airways in the lungs. What happens is that the airways react to certain substances, known as irritants and become inflamed and narrow making breathing difficult. This may also lead to extra mucus secretion by the lining of the airways, which further tends to narrow the airways.

Unfortunately, there is no cure for asthma, modern medicine has made it possible to control the symptoms completely, so that one can almost forget having asthma. Hence, there’s no need to hold back from having a normal, active life just because one has asthma.

There are many prominent personalities in the film industry, the business world, and even in the field of sports who have asthma but it has not stopped them from living a fulfilling life.

Facts about Asthma :

  1. According to World Health Organization, 235 million people suffer from asthma worldwide.
  2. Asthma is one of the major non-communicable diseases.  It is also the most chronic disease in children.
  3. Asthma cannot be cured but appropriate management can control the disorder and enable people to enjoy good quality of life.
  4. Some children with milder forms of asthma don’t have their symptoms with age but symptoms can return without any warning.

Asthma triggers :

A trigger is anything — from dust mites to deodorants — that irritates the airways. It can cause the airways to become narrow and inflamed, leading to asthma symptoms. Avoiding triggers, if possible, can help to control asthma.

It is important to remember that everyone’s asthma is different, and therefore their triggers tend to be different as well. Sometimes the triggers may be easy to identify, while sometimes it may not be. 

Asthma Symptoms :

It’s very easy to recognize the symptoms of asthma. The common symptoms of asthma are:

Shortness of breath or breathlessness :  the patient feel like he/she  can’t get enough air in or out of lungs, and find it especially difficult to breathe out.

Frequent or persistent cough : If one have a cough that doesn’t go away for many days, and find that often cough at night or after exercising.

Wheezing :  one hears a whistling sound every time you breathe out.

Tightness in the chest : the asthma patient get a tight feeling in the chest, like someone is squeezing or sitting on chest.

It’s not necessary that every person with asthma shows all of these symptoms. For instance, some people may have disturbed sleep at night due to excessive coughing, while others may experience breathlessness while exercising. It is important that one watch out for the symptoms, so that one can help  doctor diagnose condition accurately.

Main cause of Asthma :

Exposure to various irritants and substances that trigger allergies (allergens) can trigger signs and symptoms of asthma. Asthma triggers are different from person to person and can include: Airborne substances, such as pollen, dust mites, mold spores, pet dander or particles of cockroach waste.

Types of Asthma :

  • Adult-Onset Asthma.
  • Allergic Asthma.
  • Asthma-COPD Overlap.
  • Exercise-Induced Bronchoconstriction (EIB)
  • Nonallergic Asthma.
  • Occupational Asthma.

Asthma does, however, have an effect on quality of life because attacks can be unpleasant and distressing and can restrict activity.  In exceptional cases, asthma can be life-threatening, particularly if it is not treated adequately or promptly. For some of these, an attack is so severe that it results in death.

Asthma attacks

The set of inflammatory events in the respiratory system can lead to the severe symptoms of an asthma attack.

Worldwide, around 250000 people die every year as a result of asthma.

Asthma attacks occur when symptoms are at their peak. They might begin suddenly and can range from mild to severe.

In some asthma attacks, swelling in the airways can completely prevent oxygen from reaching the lungs, which also stops it entering the bloodstream and traveling to vital organs.

This type of asthma attack can be fatal and requires urgent hospitalization.

Asthma in Bengaluru :

According to the World Health Organisation, there are about 2 crore asthma patients globally of which every 10 patients are from India.

Bengaluru is considered asthma capital of India. This is due to the increased number of asthmatic patients being reported each year.

Bengaluru   has one of the highest incidences of asthma in the country and is also referred to as the asthma capital of the country with 25 per cent of cases reported from the city. In 2005, six lakh people were diagnosed with asthma in the city.

The primary cause of the condition is pollution, which increases the allergic conditions in the respiratory tract. An increasing number of children are becoming patients of this condition.

Common misconceptions about inhalers :

There is an urban legend in Bengaluru that inhalers are dangerous.  Many asthmatic patients h are hesitant to use inhalers.  Research has proved that using inhalers is the best course of treatment for asthma.

According to some the misconceptions are driven by promoters of alternative therapy for asthma who say that inhalers are addictive.  However improper dosage and frequent use of inhalation without consultation is dangerous and can cause long-term side effects. 

What is an asthma action plan?

Patient education is a critical component in the successful management of asthma. An asthma action plan provides an individual with specific directions for daily asthma management and for adjusting medications in response to increasing symptoms or decreasing lung function, as usually measured by a peak flow meter.

Prevention of Asthma :

With the increasing prevalence of asthma, numerous studies have looked for risk factors and ways to potentially prevent asthma. It has been shown that individuals living on farms are protected against wheezing, asthma, and even environmental allergies.

The role of air pollution has been questioned in both the increased incidence of asthma and in regards to asthma exacerbations.

Climate change is also being studied as a factor in the increased incidence of asthma. Maternal Smoking during pregnancy is a risk factor for asthma and poor outcomes. Tobacco smoke is also a significant risk factor for the development and progression of asthma.

Treatment of environmental allergies with allergen immunotherapy, or allergy shots, has been shown to decrease a child’s risk of developing asthma.

The development of asthma is ultimately a complex process influenced by many environmental and genetic factors, and currently there is no proven way to decrease an individual’s risk of developing asthma.

Physiotherapy and Fitness –  : Somya Rout

Physiotherapy and Fitness – : Somya Rout

Physiotherapy  also known as physical therapy, by using mechanical force and movements (bio-mechanics or Kinesology) Manual therapy, exercise therapy, and electrotherapy, remediates impairments and promotes mobility and function. Physical therapy is used to improve a patient’s quality of life through examination, diagnosis, prognosis, physical intervention, and patient education. It is performed by  physiotherapists.

In
addition to clinical practice, other activities encompassed in the physical
therapy profession include research, education, consultation and
administration. Physiotherapy services may be provided as primary care
treatment or alongside, or in conjunction with, other medical services.

Physiotherapy – Sports :

Physiotherapists are closely involved in the care and well-being of athletes including recreational, semi-professional (paid) and professional (full-time employment) participants. This area of practice encompasses athletic injury management under 5 main categories:

  1. acute care –
    assessment and diagnosis of an initial injury;
  2. treatment –
    application of specialist advice and techniques to encourage healing;
  3. rehabilitation –
    progressive management for full return to sport;;
  4. prevention –
    identification and address of deficiencies known to directly result in, or act
    as precursors to injury, such as movement assessment.
  5. education – sharing of
    specialist knowledge to individual athletes, teams or clubs to assist in
    prevention or management of injury.

Physiotherapists
who work for professional sport teams often have a specialized sports
certification issued through their national registering organisation. Most
Physical therapists who practice in a sporting environment are also active in
collaborative sports medicine programs too.

Fitness :

To be physically fit means to be in a state of health and well-being. Physical fitness is defined as the body’s ability to function efficiently and effectively in work and leisure activities, to be healthy, to resist disease and to react to emergency situations.

A person who is fit is capable of living life
to its fullest
extent. Physical and mental fitness play very important roles
in your lives and people who are both, physically and mentally fit are less
prone to medical conditions as well.

There are four types
of fitness that are important to incorporate into your physical activity
routine:

  • Cardiovascular/aerobic
    exercise.
  • Anaerobic exercise.
  • Joint flexibility.
  • Muscular endurance and
    strength.

Physical activity or exercise can improve your
health and reduce the risk of developing several diseases like type 2 diabetes,
cancer and cardiovascular disease. Physical activity and exercise can have
immediate and long-term health benefits. Most importantly, regular activity can
improve your quality of life.

Somya Rout :

Somya is a sport physiotherapist  and has worked with Odisha Ranji Team, Indian Football team,  All India Football Federation and India U-16.

He has a previous experience of working with Sports Authority of Gujarat
and Orissa Cricket Association and at Ranji, Odisha.

He studied at Goutham College of Physiotherapy, Bengaluru and did his graduation at Stewart School, Cuttack.

He is the
co-founder of Stairs Physiotherapy and Fitness at Bengaluru.  It is a fantastic
physiotherapy & fitness centre that helps one get stronger, respect your
body better and help you achieve your goal. A space to workout, get fitter and
stronger.

Qualification and
achievements – Somya Rout :

Bachelor’s in Physiotherapy (Rajiv Gandhi
university of health sciences) Karnataka.

PG in clinical research.

Certified Manual therapist.

Certification in Sports Science (Apollo
Hospital)

Strength and conditioning (Exercise and sports
sciences International consultancy).

Member of Indian Association of
Physiotherapist

Certified Physiotherapist at Asian Football
Confederation Physiotherapy course at ASPETAR ( Qatar)

He has worked with :

Odisha Ranji Team for 3 years

Micheal Bevan (tour to Australia) 2009-2012

The Indian Football team U 16

SAFF Championship ,Gold

Asian Football Qualifiers in Kuwait.

India U19 SAFF Championship Nepal ,Runners up

Asian Championship Trophy Malaysia.

Head Physiotherapist Sports Authority of
Gujarat.

Indian Football team Indian Football team U 16 Malaysia.

Physical fitness :

Physical
fitness is a
state of health and well-being  and
more specifically, the ability to perform aspects of sports,  occupations and daily activities. Physical
fitness is generally achieved through proper nutrition, moderate-vigorous physical exercise and sufficient rest.

Before
the industrial revolution, fitness was defined as the capacity to carry
out the day’s activities without undue fatigue. However, with automation and
changes in lifestyles physical
fitness
 is now considered a
measure of the body’s ability to function efficiently and effectively in work
and leisure activities, to be healthy, to resist hypokinetic disease and to
meet emergency situations

Thalassemia – Blood Disorder

Thalassemia – Blood Disorder

Thalassemia is an inherited blood disorder wherein the body produces an improper form of haemoglobin.  Haemoglobin is a protein molecule that carries oxygen in the red blood cells.  

This causes a shortage of red blood cells and low levels of oxygen in the bloodstream, leading to a variety of health problems.

This disorder results in the extreme destruction of red blood cells that leads to anaemia. Anaemia is a condition in which the haemoglobin or red blood cells are less than the normal count.

Symptoms of Thalassemia :

Thalassemia signs and symptoms may include:

  • Fatigue & drowsiness
  • Weakness
  • Pale or yellowish skin/ jaundice & pale skin
  • Facial bone deformities
  • Slow / delayed growth
  • Abdominal swelling
  • Dark urine
  • Chest pain
  • Cold hands and feet
  • Shortness of breadth
  • Leg cramps
  • Rapid heart beat
  • Poor feeding
  • Headaches
  • Greater susceptibility to infections

Several types of thalassemia exist, including alpha-thalassemia, thalassemia intermedia and Cooley anemia. The signs and symptoms you experience depend on the type and severity of your condition. Some babies show signs and symptoms of thalassemia at birth, while others may develop them during the first two years of life. Some people who have only one affected hemoglobin gene don’t experience any thalassemia symptoms.

Thalassemia is caused by mutations in the DNA of cells that make hemoglobin — the substance in red blood cells that carries oxygen throughout body. The mutations associated with thalassemia are passed from parents to children.

Thalassemia disrupts the normal production of hemoglobin and healthy red blood cells. This causes anemia. With anemia, blood doesn’t have enough red blood cells to carry oxygen to tissues — leaving the person fatigued.

Risk factors :

Factors that increase risk of thalassemia include:

  • Family history of thalassemia –  Thalassemia is passed from parents to children through mutated hemoglobin genes. If you have a family history of thalassemia, you may have an increased risk of the condition.
  • Certain ancestry – Thalassemia occurs most often in African-Americans and in people of Mediterranean and Southeast Asian ancestry.

Different types of thalassemia :

There are three main types of thalassemia (and four subtypes):

  • beta thalassemia, which includes the subtypes major and intermedia
  • alpha thalassemia, which include the subtypes hemoglobin H and hydrops fetalis
  • thalassemia minor

All of these types and subtypes vary in symptoms and severity. The onset may also vary slightly

Thalassemia  Major : A Serious Disorder

The more severe form of the disease is thalassemia major, also called Cooley’s Anemia. It is a serious disease that requires regular blood transfusions and extensive medical care.

Those with this disorder, usually show symptoms within the first two years of life. They become pale and listless and have poor appetites. They grow slowly and often develop jaundice.

Without treatment, the spleen, liver and heart soon become greatly enlarged. Bones become thin and brittle. Heart failure and infection are the leading causes of death among children with untreated thalassemia major.

The use of frequent blood transfusions and antibiotics has improved the outlook for children with thalassemia major. Frequent transfusions keep their hemoglobin levels near normal and prevent many of the complications of the disease.

But repeated blood transfusions lead to iron overload – a buildup of iron in the body – that can damage the heart, liver and other organs. Drugs known as “iron chelators” can help rid the body of excess iron, preventing or delaying problems related to iron overload.

Thalassemia has been cured using bone marrow transplants. However, this treatment is possible only for a small minority of patients who have a suitable bone marrow donor. The transplant procedure itself is still risky and can result in death.

Diagnosis :

Most children with moderate to severe thalassemia receive a diagnosis by the time they are 2 years old.

People with no symptoms may not realize that they are carriers until they have a child with thalassemia.

Blood tests can detect if a person is a carrier or if they have thalassemia.

Treatment : 

Treatment depends on the type and severity of thalassemia :

Blood transfusions: These can replenish hemoglobin and red blood cell levels. Patients with thalassemia major will need between eight and twelve transfusions a year. Those with less severe thalassemia will need up to eight transfusions each year, or more in times of stress,  illness, or infection.

Iron chelation: This involves removing excess iron from the bloodstream. Sometimes blood transfusions can cause iron overload. This can damage the heart and other organs. Patients may be prescribed deferoxamine, a medication that is injected under the skin, or deferasirox, taken by mouth.

Complications :

Various complications can arise.

Iron overload :   This may be due to the frequent blood transfusions or the disease itself.

Iron overload raises the risk of hepatitis,  (swollen liver), fibrosis (scarring in the liver), and Cirrhosis, or progressive liver damage due to scarring.

The endocrine glands produce hormones. The pituitary gland is particularly sensitive to iron overload. Damage may lead to delayed Puberty and restricted growth. Later, there may be a higher risk of developing  diabetes and either an underactive or overactive thyroid gland.

Iron overload also increases the risk of arrhythmias,  or abnormal heart rhythms, and congestive health failure.

Alloimmunization:

Sometimes, a blood transfusion will trigger a reaction where the person’s immune system reacts to the new blood and tries to destroy it. It is important to have the exact blood type match to prevent this kind of problem.

Enlarged spleen :

The spleen recycles red blood cells. In thalassemia, the red blood cells may have an abnormal shape, making it harder for the spleen to recycle them. The cells accumulate in the spleen, making it grow.

An enlarged spleen can become overactive. It can start to destroy the healthy blood cells the patient receives during transfusions. Sometimes, a patient may need a splenectomy, or surgical removal of the spleen. This is now less common, because removing the spleen can lead to other complications.

Infection :

Removing the spleen leads to a higher chance of infection, and regular transfusions increase the risk of contracting a blood-borne disease.

Bone deformities :

In some cases, the bone marrow expands, deforming the bone around it, especially the bones of the skull and face. The bone can become brittle, increasing the risk of fracture.

Outlook about life :

The outlook depends on the type of blood disorder.

A person with the thalassemia trait has a normal life expectancy. However, heart complications arising from beta thalassemia major can make this condition fatal before the age of 30 years. 

In Bengaluru, Rashtrothana is helping Thalassemia patients.

Rashtrotthanna Parishat  :

Rashtrotthana Parishat is a social service organisation  founded in Bengaluru in 1965. It is an initiative started by few social workers to bring social reforms through service activities and publications in Karnataka. 

Rashtrotthana Parishat runs various projects across the State of Karnataka.

Rashtrotthana Rakta Nidhi (Blood Bank) is one among those. It was established in Chamarajpet, Bengaluru in 1993.  It is an ISO certified blood bank,  provides blood for the needy 24 hours each day.

In 2011-2012, the blood bank collected 48,647 units of blood through various blood donation camps, and is reported to be the largest blood bank in the state.

To know more click on the link https://www.bangalorean.com/bu/rashtrotthana-parishat-blood-bank/

Autism – a medical disorder – awareness

Autism – a medical disorder – awareness

Autism  is a complex neurobehavioral condition that includes impairments in social interaction and developmental language and communication skills combined with rigid, repetitive behaviors. Because of the range of symptoms, this condition is now called autism spectrum disorder (ASD).

It covers a large spectrum of symptoms, skills, and levels of impairment. ASD ranges in severity from a handicap that somewhat limits an otherwise normal life to a devastating disability that may require institutional care.

Children with autism have trouble communicating. They have trouble understanding what other people think and feel. This makes it very hard for them to express themselves either with words or through gestures, facial expressions and touch.

Real scenario :

About 1 in 68 children has been identified with autism spectrum disorder (ASD) according to estimates from CDC’s Autism and Developmental Disabilities Monitoring (ADDM) Network.

ASD is reported to occur in all racial, ethnic, and socioeconomic groups. ASD is almost 5 times more common among boys (1 in 42) than among girls (1 in 189). Despite being a critical issue, the India-specific estimate of the prevalence is still unaccounted.

Moreover, the stigmatization and discrimination associated with neurological differences remain substantial obstacles to diagnosis and therapies, an issue that must be addressed by both public and policy-makers.

History of Autism :

From the early 1900s, autism has referred to a range of neuro-psychological conditions. But where did the term come from, and how has knowledge about autism changed?

Where Did the Term “Autism” Come From?

The word “autism” comes from the Greek word “autos,” which means “self.” It describes conditions in which a person is removed from social interaction. In other words, he becomes an “isolated self.”

Eugen Bleuler, a Swiss psychiatrist, was the first person to use the term. He started using it around 1911 to refer to one group of symptoms related to schizophrenia.

In the 1940s, researchers in the United States began to use “autism” to describe children with emotional or social problems. Leo Kanner, a doctor from Johns Hopkins University, used it to explain the behavior of several children he studied who acted withdrawn.

Autism and Schizophrenia :

Autism and schizophrenia remained linked in many researchers’ minds until the 1960s. It was only then that medical professionals began to have a separate understanding of autism in children.

From the 1960s through the 1970s, research into treatments for autism focused on medications such as LSD, electric shock, and behavioral change techniques. The latter relied on pain and punishment.

During the 1980s and 1990s, the role of behavioral therapy and the use of highly controlled learning environments emerged as the primary treatments for many forms of autism and related conditions. Currently, the cornerstones of autism therapy are behavioral therapy and language therapy. Other treatments are added as needed.

Symptoms of autism :

Signs and symptoms of autism in a child, such as ADHD, OCD, depression, there, epilepsy and hyperactivity.

Autism Symptoms and Signs :

  • Abnormal Body Posturing or Facial Expressions.
  • Abnormal Tone of Voice.
  • Avoidance of Eye Contact or Poor Eye Contact.
  • Behavioral Disturbances.
  • Deficits in Language Comprehension.
  • Delay in Learning to Speak.
  • Flat or Monotonous Speech.
  • Inappropriate Social Interaction

Social communication and interaction :

A child or adult with autism spectrum disorder may have problems with social interaction and communication skills, including any of these signs:

  • Fails to respond to his or her name or appears not to hear you at times
  • Resists cuddling and holding, and seems to prefer playing alone, retreating into his or her own world
  • Has poor eye contact and lacks facial expression
  • Doesn’t speak or has delayed speech, or loses previous ability to say words or sentences
  • Can’t start a conversation or keep one going, or only starts one to make requests or label items
  • Speaks with an abnormal tone or rhythm and may use a singsong voice or robot-like speech
  • Repeats words or phrases verbatim, but doesn’t understand how to use them
  • Doesn’t appear to understand simple questions or directions
  • Doesn’t express emotions or feelings and appears unaware of others’ feelings
  • Doesn’t point at or bring objects to share interest
  • Inappropriately approaches a social interaction by being passive, aggressive or disruptive
  • Has difficulty recognizing nonverbal cues, such as interpreting other people’s facial expressions, body postures or tone of voice

Causes :

Autism spectrum disorder has no single known cause. Given the complexity of the disorder, and the fact that symptoms and severity vary, there are probably many causes. Both genetics and environment may play a role.

Genetics. Several different genes appear to be involved in autism spectrum disorder. For some children, autism spectrum disorder can be associated with a genetic disorder, such as Rett syndrome or fragile X syndrome.

For other children, genetic changes (mutations) may increase the risk of autism spectrum disorder. Still other genes may affect brain development or the way that brain cells communicate, or they may determine the severity of symptoms. Some genetic mutations seem to be inherited, while others occur spontaneously.

Environmental factors. Researchers are currently exploring whether factors such as viral infections, medications or complications during pregnancy, or air pollutants play a role in triggering autism spectrum disorder.

Complications :

Problems with social interactions, communication and behavior can lead to:

  • Problems in school and with successful learning
  • Employment problems
  • Inability to live independently
  • Social isolation
  • Stress within the family
  • Victimization and being bullied

Prevention :

There’s no way to prevent autism spectrum disorder, but there are treatment options. Early diagnosis and intervention is most helpful and can improve behavior, skills and language development. However, intervention is helpful at any age. Though children usually don’t outgrow autism spectrum disorder symptoms, they may learn to function well.

On the World Autism Awareness Month, Forum Mall Koramangala and I Support Foundation organized Quiet hour on 2nd April 2019 and will be organizing Autism Fest on 13th April 2019 along with volunteering partner Oracle, activity partners AltLab Innovators, Colorothon and Giggles contributing to the cause of raising awareness and acceptance about Autism. Both the events will be held in Forum Mall Koramangala, Bangalore.

AUTISM FEST (April 13th, 2019 10:00 AM – 1:00 PM)

Objective:April being World Autism Awareness Day and promoting community awareness, social acceptance, inclusion, and educating about differently abled while providing a place to foster friendship and show kids, families facing developmental ability love and support.

The festival includes:
  • A resource craft fair, kids play area, indoor games (Board and Sensory games, Snake and Ladder, Chess).
  • Approximately 100 students and their families to participate in the autism street fest organized to raise awareness
  • Skill training DIY – best out of waste.
  • Fun activities like face painting, watercolor painting, caricature.
  • A stall for answering queries of parents with respect to Autism.
  • Magic Show, Cartoon characters, Music, and fun.
  • Art arena, Photo booth.
  • Refreshments.
Impact:
  • This initiative is to support autistic kids, adults and their families to come out.
  • Forum Mall Koramangala being the first Mall to show gesture for social inclusion.
  • Creating a welcoming and socially acceptable environment. 
  • A small change can bring a huge difference. A recent study found that 64% of people with autism avoid going into shops due to the fear of sensory overload.

Rare diseases – awareness run – Bengaluru

Rare diseases –  as the name says which are rare.   A run is being organized by the Organisation for  rare Diseases India (ORDI).  This is about addressing the challenges of unfamiliar diseases.

Organisation for rare diseases India :

ORDI  is a national umbrella organization representing the collective voice of all patients with rare diseases in India.  It is been setup as a section 25 non-profit company in India. 

The vision of the NGO is to make diseases which are unfamiliar to the public as easily diagnosed and treated as common diseases like Diabetes, Hypertension , TB, AIDS etc.

History of run :

What started as an awareness walk to commemorate World Rare Disease Day in February 2016 has now grown into a significant campaign, conducted simultaneously in multiple cities and two countries – India and the USA.

Over the years, the run has expanded and in 2019 it will be conducted over February and March across 13 Indian cities – Bengaluru, Mysuru, Chennai, Kolkata, Mumbai, Jaipur, Coimbatore, Bikaner, Hyderabad, New Delhi, Ahmedabad, Thiruvananthapuram and Kochi.

Rare diseases – ‘Race for 7’ :

The NGO is conducting an awareness run in Bengaluru.  The run is to raise funds and to educate people about diseases. The event is first of its kind in the world.

The event is being held on February 24, at St.Joseph’s Indian School.  It is been given name as ‘Race for 7” symbolically to represent 7000 rare diseases with 7000 people running for 7 kms. to represent the average number of years taken to diagnose a disease.

Awareness :

Race for 7 is held in the month of February to commemorate World Rare Disease Day  which falls on the last day of February. The theme for the event 2019 is ‘Bridging health and social care’,  focusing on the need to better coordinate all aspects of care to improve the lives of people living with a rare disease.

One in every 20 Indians suffers from this illness . Almost half of whom are children, an important fact that often doesn’t get highlighted.

Besides lack of access to early intervention and treatment because of the lack of widespread awareness about this rare phenomenon, the cost of treatment where it is available is often prohibitively expensive.

The run is Uniting the world against rare diseases. 

Super-specialty hospitals – Bengaluru

Super-specialty hospitals are growing in Benglauru.  The Karnataka State Government is planning to set up four super specialty hospitals in the city.

Health care is gaining increasing importance in recent years. The concept of health care is emerging from providing treatment to the disease to the improvement of overall health status and also maintenance of good health.

What is a super-specialty hospital?

Super-specialty hospitals may have doctors with degrees as in DM neurology, McH urology, DM gastroenterology, McH neurosurgery as in super-specialists.  These specialists have education higher than a MD/MS.

Facilities at super-specialty hospital

They have micro specialized in a organ system as such so are more experts for diseases system wise as in gastroenterology(stomach and intestine) system, nervous system as in DM neurology, diseases of diabetes etc as in DM endocrinology.

The specialities includes such as Neuro surgery, Plastic surgery, Cardio-thoracic surgery as well as others.

Super-specialty hospitals – International standard:

A super-specialty hospital focuses on the treatment of specific illnesses.  The quality and safety regulations follow the accreditation standards of National Accreditation Board for Hospitals & Healthcare Providers (NABH).

National Accreditation Board for Hospitals and Healthcare Providers (NABH) is a constituent board of Quality Council of India (QCI), set up to establish and operate accreditation program for healthcare organizations.

The approval by International Society for Quality in Healthcare (ISQua) gives credibility to the NABH standards to be compatible with global benchmarks. Accreditation by ISQua had been granted to hospitals of 11 countries so far. The 12th country to join this group is India.

Bengaluru – hub of super-specialty hospitals:

The Government of Karnataka is in search of land to set up the super- specialty hospitals in four different party of the city according to the Bengaluru Development Minister DCM G.Parameshwara.

The upcoming hospitals will be constructed on the lines of the existing Victoria and Jayadeva Hospitals. 

Heart attack – main cause Air Pollution

Heart attack – the main factor is air pollution in the city of Bengaluru.   Cardiologists are shocked and puzzled after noticing a steady stream of patients being admitted with heart attack.

Views of Doctors on Air pollution causing heart attack :

Doctors world over are finding an increasing correlation between air pollution, traffic and cardio vascular diseases and heart attack.  

It is unsurprising that auto and cab drivers constitute youngsters being admitted for heart treatment at Jayadeva Hospital.  The other big factor contributing to heart diseases is expose to noise pollution.

Heart attack cause is air pollution :

For many years the biggest cause for heart attack were cholesterol and hypertension.  But in recent years, air pollution has become the major cause.

contributors for air pollution

Worsening environmental air quality/air pollution is causing cardio-vascular ailments/heart attack to people in their 40’s.  This view was aired by doctors at a discussion on ‘non-communicable diseases (NCD’s) prevention and control in Karnataka’ organized by the Institute of Public health.

Quality of air contributing to heart attack:

The findings were shocking.  Frequent traffic jams and snarls are the causes for air pollution.  Air pollution along with hypertension (B.P) is very aggressive than the cholesterol contribution in causing heart attack.

air pollution due to traffic jam

Particulate matter less than 2.5 micrometers will get absorbed into the blood vessels.  It affects the beta cells on pancreases where insulin is produced. 

All the above mentioned will manifest in heart attack. 

Study at Jayadeva about air pollution:

Researchers at the Jayadeva institute have studied around 500 traffic policemen for the effects of air pollution on them.  Preliminary investigations have revealed that most of the people were part of the study were indeed victims of air pollution.

Bengaluru west had accounted for a higher concentration of particulate matter less than 2.5 micrometres and 10 micrometres at Srirampuram and Bagalur areas respectively. 

The areas in Bengaluru East has accounted for higher concentration of carbon monoxide.

According to Dr. Manjunath the other factor is sitting for a long time at workplace.   Sitting constantly for 5 to 6 hours is equal to smoking 5 to 6 cigarettes .

Organ retrieval centre – NIMHANS, Bengaluru

Organ Retrieval centre is coming at NIMHANS, Bengaluru.  The centre will be a boon for organ donation. It will be a first of its kind in Bengaluru city.

One donor can save eight lives.  A brain dead patient can have his heart, two kidneys, two lungs, liver, pancreas, and small bowel reused by patients with organ failure, whose lives can be saved.


NIMHANS :

The National Institute of Mental Health and Neuro-Sciences is a premier medical institution located in Benglauru.  NIMHANS is the apex centre for mental health and neuroscience education in the country, the institute operates autonomously under the Ministry of Health and Family Welfare.

The history of the institute dates back to 1847, when the Bangalore Lunatic Asylum was founded. In 1925, the Government of Mysore rechristened the asylum as the Mental Hospital.


NIMHANS – Organ retrieval centre :

The NIMHANS has got the licence to start a NTORC (non-transplant organ retrieval centre) on its own premises to clear the way for harvesting of organs.  The harvesting of organs are from brain-dead patients after receiving consent from their near one’s.

NIMHANS receives maximum accident and trauma cases, which are potential brain dead donors. It has estimated Rs 4.5 crore that will be needed to set up such a centre. Though it’s a Central government hospital, the state had agreed to give money for setting up the centre.


Infrastructure at NIMHANS :

There are infrastructural issues at NIMHANS.  The hospital is specialized in mental health and neurosciences.  It lacks personnel specialized in carrying out complex surgeries to harvest organs like kidney and liver.

Organ retrieval centres require neurologists, anaesthetists, physicians and a medical superintendent apart from Operation Theatre space and an Intensive Care Unit.

Presently NIMHANS is willing to give an operation theatre and an intensive care unit to carryout the retrieval of organs on its premises.


Training – organ retrieval centre :

Dr. Dhananhat Bhat has been appointed as the nodal officer to take the project forward.  According to Dr.Bhat “the project is still in the beginning stage.  The convener of (existing organ retrieval system) Jeevasarthakathe has given an outlook on how organ donation and  transplantation take place”.

Conclusion :

The organ retrieval centre will help in boosting organ transplant by avoiding further referrals and to find ways of harvesting organs out of brain-dead cases.

World cancer day – February 4th

World Cancer Day is an international day marked on February 4 to raise awareness of cancer and to encourage its prevention, detection and treatment.

World Cancer day

World Cancer Day was founded by the Union of International Cancer Control (UICC) to support the goals of the World Cancer Declaration written in 2008.

The primary goal of World Cancer Day is to significantly reduce illness and death caused by cancer and is an opportunity to rally the international community to end the injustice of preventable suffering from cancer.

Every year the theme has its own theme. The theme for World Cancer Day 2019 is – ‘I am and I will’. 

What is cancer ?

Cancer is a diseases that involves the process of abnormal cell growth in your body with the potential to invade some particular part of the body and do not spread to other parts of it. Formation of several cancers, in particular, has been immensely influenced by the diet one follows.

Cancer viruses

On the other hand, array of foods too are listed in the power-packed foods having several beneficial compounds that help lessen and kill the growth of cancer cells in body.

Significance of world cancer day :

World Cancer Day targets misinformation, raises awareness, and reduces stigma  Multiple initiatives run on World Cancer Day to show support for those affected by cancer.

Highlights :

  • Cancer is a disease that involves the process of abnormal cell growth
  • Turmeric, is widely used for its health-promoting properties
  • An active component traced in garlic called allicin can kill cancer cell.

Prevention is better than cure – world cancer day :

Preventing development of cancer on this world cancer day with some super foods is the best natural possible way one could have by the side. Opt for fruits and vegetables which are bright in color like red, blue and purple (plums, eggplant, grapes, figs etc.)

Natural cancer fighters

Foods that are to be  included in diet plan, drastically shows its affect in many aspects of overall health, including the risk of developing chronic diseases such as diabetes, blood pressure, heart disease or cancer.

There are some food items that help in preventing the growth of cancer cells. These include turmeric, garlic, citrus fruits, berries, tomatoes, purple-red fruits & veggies, high-fibre whole grains, nuts & seeds, beans, leafy veggies etc. Regular consumption of these, abstinence from smoking, alcohol and an overall healthy diet and lifestyle can help reduce cancer risk.

Statistical figures – world cancer day :

The estimated number of deaths due to cancer in 2018 was 9.5 million, which amounts to a whopping 26,000 deaths a day. This number is expected to increase as environmental stresses increase, air quality worsens, lifestyles and eating habits too!

Global statistics

Kidwai hospital – digitize record

Kidwai hospital to digitize records of patient records.    Digitization aims at combining and managing all aspects of a hospital’s operations such as medical, financial, administrative, legal and compliance, health records online.

Kidwai hospital

At present the patients carry hospital records, reports and scanned images in person. 

First in Karnataka – Kidwai Hospital :

Kidwai hospital has become the first government hospital in Karnataka to execute the Central government’s e-hospital project.  The first round of execution of the project started last week.

A team from Infosys Foundation is helping the doctors at Kidwai to streamline the data and also link the departments.

How it works at Kidwai Hospital?

Digitization helps in storing complete patient’s records online for the oncologists treating patients.  E-hospital Kidwai will register the patient in the hospital system at the OPD (out patient department) on entering.

A patient identification number and a patient-specific barcode will be generated.  The patient will be given a ‘health card’. At the electronic queue management centre, they will be issued a token which will tell them where to go and which doctor to see.

Procedure to be followed :

A consultant/doctor from Kidwai Hospital will scan the patient’s barcode to receive information about the patient, such as medical history, allergies, and demographic data.

After the consultation, he will then enter the diagnosis, prescription, and other tests which should be taken into the system.    After blood test the patient is direction to the lab to give the sample. 

The blood sample will then be labelled with a barcode, enabling the technician to retrieve vital information before recording the test results.

Digital healthcare at Kidwai hospital :

Digital healthcare is answer to government run hospitals.  Normally the state run hospitals will be disorganized, overcrowded and the inconsistent quality of hospital services. It is also instrumental in managing information more efficiently.

Digitization  improves connectivity within healthcare institutions.  There is better coordination between healthcare personnel and also recorded data under this system.

H1N1 flu/ Swine flu threat alert – Karnataka

H1N1 flu/ Swine flu threat alert – Karnataka

H1N1 flu/ Swine flu threat alert in Karnataka.  After coping to the Kyasannur Forest Disease (KFD) known as monkey fever.  Karnataka has been alerted by the Central Government about increasing cases of seasonal influenza, H1N1, H3N2 and Influenza B.

In a month’s time around 152 cases of confirmed H1N1 flu/Swine flu  has been reported in the State.  An advisory to the public as prevention and control has been issued.

What is H1N1 flu/ Swine flu?

The H1N1 flu/ Swine flu virus is contagious and can spread from human. Symptoms of swine flu in people are similar to the symptoms of regular human flu and include fever, cough, sore throat, body aches, headache, chills and fatigue. There are antiviral medicines one can take to prevent or treat swine flu.

Medication for H1N1 flu/swine flu

Symptoms of H1N1 flu/Swine flu :

symptoms of fever

H1N1 flu/ Swine flu signs and symptoms in humans are similar to those of other flu strains:

  • Fever (but not always)
  • Cough.
  • Sore throat.
  • Runny or stuffy nose.
  • Watery, red eyes.
  • Body aches.
  • Headache.
  • Fatigue.

Cases of H1N1 flu/Swine flue :

High incidences of H1N1 flu / Swine flu were reported from Rajasthan, Maharashtra and Gujarat.  An increasing trend is being observed in Karnataka also.

National centre for Disease control has reported 72deaths in Karnataka last year.  Karnataka is the fifth highest in India to report H1N1 flue/Swine flu.

The Rajiv Gandhi Institute of Chest Diseases (RGICD) has screened 112 patients. Like other viral diseases, the number of H1N1 cases increases every alternative year.

H1N1 Flu/Swine flue Top 5 places in Karnataka:

Positive cases reported at

BBMP Limits   25

Bengaluru Urban 31

Dakshina Kannada 18

Mysuru 15 and

Shimoga 10 

(Source : Directorate of Health and Family Welfare Services (As on 24.01.2019)

Do’s to prevent H1N1 flue/Swine flu:

Photo swine flu1

  • Cover mouth and nose with a handkerchief or tissue when you cough or sneeze
  • Was hand regularly or as often as possible with soap and water
  • Avoid touching eyes, nose and mouth
  • Avoid going to crowded places
  • Avoid visiting or getting close to a person suffering from flu.

Don’t’s to prevent H1N1flue/Swine flu :

  • Shake hands or give a hug
  • Spit in public places
  • Take medicines without a physician’s consultation
  • Travel to other State where there are high cases of H1N1 flu/Swine flu
Duration of H1N1 flue/Swine flu :

People infected with any kind of flu can infect others one day before they have symptoms and five to seven days after they become sick. The symptoms of swine flu (H1N1), including fever, chills, cough, and body aches, last about eight days, on average. Some symptoms may continue longer than that.

Prevention is better than cure

H1N1 flu/Swine flu is no more dangerous than the other flus which strike in winter: influenza virus B and H3N2.

However, the flu can be serious for those who are vulnerable, including as those with existing long-term health conditions, or who are undergoing treatment such as chemotherapy.

E-vaccine program – BBMP

E-vaccine program is being launched by the civic body BBMP in Bengaluru.  The BBMP is all set to roll out Electronic Vaccine Intelligent Network (eVIN). This program is to monitor the status of stored vaccines in hospitals across Bengaluru.

vaccine

Vaccine / E-vaccine program :

A vaccine is a biological preparation that provides active acquired immunity to a particular disease. A vaccine typically contains an agent that resembles a disease-causing microorganism and is often made from weakened or killed forms of the microbe, its toxins, or one of its surface proteins.

keeping track of stock of vaccines

The agent stimulates the body’s immune system to recognize the agent as a threat, destroy it, and to further recognize and destroy any of the microorganisms associated with that agent that it may encounter in the future. Vaccines can be prophylactic or therapeutic (e.g. vaccines against cancer are being investigated).

BBMP E-vaccine initiative :

The E-vaccine is an app-based technology.  This program helps in gathering real-time data on stored vaccines.  This also involves data on stocks and flows and even its storage temperature.

This technology helps in easing the things out as monitoring is online.  This process helps in reducing the wastage of vaccines. 

Vaccination

This project will be launched by BBMP in 87 primary health centres and 30 maternity homes in Bengaluru in the next 10 days.  All the staff have been given adequate training to handle any issues arising.

Working of E-vaccine program :

Persons who monitor the storage will be updating the information with the help of the E-vaccine application.  The information contains the net utilization of each vaccine.  Data about temperature is recorded and updated every 60 minutes.

The difference in temperature is communicated by sending a mail or SMS. 

E-Vaccine program in different parts :

This program was launched in 2015 in Centre. It includes 12 states in 371 districts.  The states includes Assam, Bihar, Gujarat, Chattisgarh, Himachal Pradesh, Uttar Pradesh, Manipur, Nagaland, Odisha, Jharkhand, Madhya Pradesh and Rajasthan.

The other states included in the list are Telangana, Uttarakand, Goa, Karnataka, Andhra Pradesh, Maharashtra..

Bone marrow transplant – Kidwai hospital

A bone marrow transplant unit will be soon opened at Kidwai Memorial Institute of Oncology.  This unit will have a 20-bed unit in the premises exclusively for bone morrow transplants.

Kidwai hospital

Kidwai Memorial Institute of Oncology – History :

Kidwai Memorial Institute of Oncology  is a cancer care hospital in Bengaluru. It is an autonomous institution of the Government of Karnataka and a Regional Cancer Centre funded by the Government of India.

The hospital at Bengaluru was named after Rafi Ahmed Kidwai, the Governor of Bombay. It was founded on 26 June 1973. The hospital is in need of a bone marrow transplant unit.

Kidwai Bone marrow transplant unit :

A bone marrow transplant is a medical procedure performed to replace bone marrow that has been damaged or destroyed by disease, infection, or chemotherapy. This procedure involves transplanting blood stem cells, which travel to the bone marrow where they produce new blood cells and promote growth of new marrow.

Bone marrow is the spongy, fatty tissue inside your bones. It creates the following parts of the blood:

  • red blood cells, which carry oxygen and nutrients throughout the body
  • white blood cells, which fight infection
  • platelets, which are responsible for the formation of clots

The new bone marrow transplant unit will be operational in a year.

Requirements – who requires a Bone marrow transplant ? :

The bone marrow transplant procedure requires high costs.  It require zero infection rooms where patients are housed.   According to Dr. Girish Badarkhe, India needs 400-500 transplant units.  Only 50-60 centres are operational.  A handful of them are government owned.

Those persons who are suffering from blood cancer, thalassemia, sickle cell anaemia and immuno-deficiency disorder are treated with bone marrow transplants.

Presently marrow transplant costs around Rs.40 lakh in any private hospital.  Patients surrering from blood cancer would have easy access to bone marrow transplant treatments and transplants at government hospitals. 

Victoria Hospital – New critical care department

Victoria hospital is proposing to open a new critical care department.  The proposal is due to the growing number of emergencies. 

Entrance of Victoria hospital

History of Victoria Hospital :

Victoria Hospital is a government run hospital affiliated with Bangalore Medical College now renamed Bangalore Medical College and Research Institute. It is one of the largest hospital in the city. 

View of Victoria hospital

The hospital  was started by Shri. Krishnaraja Wodeyar, the then Maharaja of Mysore in 1901. 

Health care facilities at Victoria Hospital :

Emergency services are available 24 hours including traumatology and emergency surgery in the Mahabodhi Burns and Casualty block with a 24-hour blood bank. 

 A centralized laboratory modernized with a grant from Infosys provides 24-hour services. The outpatient department housed in the Sir Puttanna Chetty block has a pharmacy that supplies medicines free to poor patients

The centenary building houses new wards and the nuclear medicine department with gamma camera and modern operation theatres. The radiology department is in the B.M. Srinivasaiah block.

The E.N.T department is in the Venkateshwara Institute. A dharmashala on the hospital campus provides subsidized accommodation for patient’s companions.

New Critical care unit at Victoria Hospital :

With the increase in medical attention and growing number of patients there is a need to include a critical care unit.  The hospital has sought minimum 10 doctors only for the critical care.  This includes critical care specialists, anaesthetists and doctors.

For a hospital of this vast size, the need of a dedicated team of experts is needed.  At present the hospital is utilizing the staff from Bangalore Medical College and Research Institute. 

Emergency cases at Victoria hospital includes accidents, poisoning, snakebite etc.  The hospital sees  around 60000 patients in the trauma care centre in a year.

Shortages at Victoria hospital:

The hospital has shortage of nurses.  The trauma centre in the hospital needs around 280 nurses.  But the hospital at present has 180 nurses and is in need of 100 more. 

The hospital has 385 ICU beds, 10 neurotrauma beds, 18 beds in main ICU, 2 beds in isolation.

Sanitary pads – Guinness record

Sanitary pads – Guinness record happened in Bengaluru.  This was to promote menstrual hygiene.  A menstrual pad is a type of feminine hygiene product that is worn externally.

Sanitary pads

Participants at the 62nd All India congress of obstetrics and Gynecology formed a line stretching 1078 metres using 10105 sanitary pads.

Sanitary pads or menstrual pads are made from a range of materials, differing depending on style, country of origin and brand. the main materials will usually be bleached rayon (cellulose made from wood pulp), cotton and plastics.

Sanitary Pads – History

Through the ages women have used different forms of menstrual protection.  Menstrual pads have been mentioned as early as the 10th century, in the Suda, where Hypatia lived in the 4th century AD.

The ergonomic design and materials used to make pads also changed through the 1980s to today,  With earlier materials not being very effective. 

Sanitary pads – society and culture

This is about cultural aspects surrounding how society views menstruation.   In some societies it involves menstruation being perceived as unclean or embarrassing, inhibiting even the mention of menstruation. 

Many traditional religions consider menstruation ritually unclean, although anthropologists point out that the concepts ‘sacred’ and ‘unclean’ may be intimately connected.

Sanitary pads – Doctors’ meet

This was done at the 62nd All India Congress of Obstetrics and Gynaecology (AICOG) that began in Bengaluru on 9th January. More than 15,000 doctors’ participated in the five day conference.

The sanitary pad formation that made to the Guinness records

Ilustrating and picturing women’s health, the sanitary pads were designed in the shape of a uterus and carried the tagline ‘Nothing’s more cuterus than your uterus’.

To promote menstrual hygiene among adolescents, doctors’ especially gynaecologists attempted a Guinness world record  by creating the ‘longest line of sanitary pads’.   

The pads used in the event was later given to Indirapriyadarshini Girls high School; RSPAVK High School, Jayanagar; Gokul Vidya Kendra and Muambika School for New Age to be distributed among their  students. 

BBMP Maternity Homes -Facelift – Bengaluru

BBMP Maternity homes are getting a face-lift.  After so many years the BBMP has at last decided to give a boost to give a face-lift to its maternity homes.

BBMP Maternity Home

Bruhat Bengaluru Mahanagara Palike has decided to upgrade the maternity hospitals in the city. The hospitals will soon have a laboratory, ultrasound scanner and other super-speciality services.

Steps taken to face-lift BBMP maternity homes:

The first step towards face-lift will be construction and repairs.  There are 24 BBMP maternity homes and 6 referral hospitals which comes under BBMP wing.

The civic body BBMP has invited tenders to provide medical equipment specially for cardiac monitoring.  Lighting facilities at Operation theatre’s in these homes will be replaced.

Some of the BBMP Maternity homes will undergo renovation and also construction.  This includes the maternity homes at SK Garden ward, Bharatinagar ward and construction of a referral hospital in Ganesha Mandir Ward.  Even Chamarajpet Maternity home is included.

Approximately 12000 children are born at BBMP Maternity homes in a month according to the Chief Health Officer, BBMP.  This sums up to around 1.4 lakh deliveries in a year.

Patients at BBMP Maternity homes

Most of the expectant mothers who goes to the BBMP Maternity hospitals are poor and belongs to below poverty line.  By uplifting and upgrading the maternity homes, the BBMP wants to provide quality healthcare.

The patients who get admitted to these hospitals mainly come from slum areas. Many of them are anaemic. In the case of C-section delivery, they need specialists,and these specialists are available only at the referral hospitals. BBMP will appoint more specialists at the BBMP referral hospitals to support these maternity homes.

The BBMP maternity homes are situated in areas which are thickly populated.  Some of the BBMP maternity homes are run by nurses.  These nurses avoid admitting pregnant ladies with critical cases as there are no doctors to attend to them.

The gynecologists appointed by the BBMP are available in the hospitals only during stipulated hours.  In case a patient needs a surgery and comes to the hospital after 4 PM, they will be referred to better equipped hospitals.

Budget allotment for BBMP maternity homes

For the year 2018-2019 the BBMP has allocated Rs.1.50 crore to give away health kits to postnatal (postnatal period begins immediately after the birth of a child as the mothers body, including hormone levels and uterus size returns to anon-pregnant state.  The terms puerperal period or immediate post partum period are commonly used to refer to the first 6 weeks following child birth.) mothers who take services from these BBMP maternity homes to keep health at its best.

PINK Baby scheme by BBMP maternity homes
Girl baby 

To encourage the birth of girl baby the BBMP has introduced ‘pink baby’ scheme.  Under this scheme Rs.5 lakh will be deposited in a FD account for the parents of the girl baby born on the 1st day of every year.

All the 24 BBMP maternity homes are covered under this scheme. This scheme will provide money to the girl child for good education.

Read more related to BBMP: https://www.bangalorean.com/bbmp/council-meetings-bbmp/

Child Obesity

Child obesity is common among School kids in Bengaluru.   Obesity is on the rise.

 

Child obesity

Child obesity is rising and gaining popularity is becoming a serious public concern.  Recent studies are showing a worrying trend that obesity among kids is increasing.

21% of in Bengaluru is being obese and overweight.  In the name of modern lifestyle and fancy food habits, children these days are paying a heavy price through their health.

The annual school health check findings 2018 revealed that 15% of private schoolchildren have a vision problems, 30% experience dental caries, 21% are obese/overweight and 14% are at the risk of lifestyle diseases.

What is child obesity?

The BMI of a person is the measure of body weight relative to their height. It uses a formula to determine whether a person is underweight, normal, overweight or obese. For children, the scale uses an age and sex-specific measure called “BMI-for-age”. The charts use a percentile system to show how your child’s BMI compares with the other children in their age group.

Causes for child obesity:

Family history, lifestyle and psychological factors play a role in childhood obesity. Children in families where parents or other members are obese tend to follow the trend. Little can be done to do about that.  The other causes worth considering, which one can control are:

  • Poor diet and unsupervised snacking are the main culprits. Fast foods, sugary drinks, snacks, soda, soft drinks, and sweets add to the calorie intake and weight.
  • Some of the parents do not know how to choose or prepare healthy foods and others might not be able to afford healthy foods such as fresh fruits and vegetables.
  • Lack of physical activity adds up to unhealthy eating habits to make kids obese.
  • Psychological factors in some of the children and teens lead to obesity. Children who are depressed, bored or are feeling low tend to eat more to cope with negative emotions.

Child obesity risks:

Being obese puts children at the risk of many serious health disorders that would affect them through out their lives.

  • Diabetes– Overconsumption of sugary foods can lead to type 2 diabetes in children.
  • Heart Disease– Fat rich foods and foods that are salty give rise to high cholesterol and high blood pressure. Both the conditions raise the risk of heart disease in obese children.
  • Asthma– Children who already suffer from Asthma, a chronic inflammation of the lung can have it worse if they are also obese.
  • Sleep disorders– Obese children who have extra fat around their necks can suffer from blocked airways.  It leads to conditions such as sleep apnea where they find it difficult to sleep in the night due to interrupted breathing.
  • Joint pain– Carrying excess weight can lead to children experiencing joint stiffness, limited range of motion and pain.

Prevention is better than cure.  Start taking an interest in what your child is doing and eating. Stop child obesity.

Read related to this topic: https://www.bangalorean.com/education/children-safety-en-route-school/

Toxic Air Pollution – Karnataka / Bengaluru

Toxic Air pollution – Karnataka/Bengaluru. Pollution is making people fall sick.  In some cases, it is even fatal.

Toxic Air Pollution problem is grappling Karnataka.  The worst air quality in South India is in Karnataka that kills 95 out of 1,00,000 individuals.  The death rate on national average is 89.9 due to air pollution.

air pollution

The toll in Karnataka is worse than the national average.   The worst toxic air pollution is found in northern states of Uttar Pradesh, Haryana,  Delhi, Rajasthan, and Bihar.

Toxic Air Pollution

Toxic air pollution occurs when harmful quantities of substances including gases, particulates, and biological molecules are introduced into earth’s atmosphere.  This may cause diseases,  allergies and even death to the human. More diseases like lower respiratory infections, chronic obstructive lung disease, heart attacks, diabetes, and lung cancer.

toxic air pollution                                          It also causes harm to other living organisms like animals and food crops.  Toxic air pollution damage the natural or built environment.  The substance in the toxic air pollution can be solid particles, liquid droplets, or gases. A pollutant can be of natural origin or man-made.

Along with harming human health, toxic air pollution can cause a variety of environmental effects. Acid rain is precipitation containing harmful amounts of nitric and sulfuric acids. These acids are formed primarily by nitrogen oxides and sulfur oxides released into the atmosphere when fossil fuels are burned.

Sources of toxic air pollution:

Human activity and natural processes can generate air pollution.  Anthropogenic (man-made) sources and natural sources.

                                                            
Man-Made Sources :
  • Fossil-fueled power stations, waste-incinerators
  • Motor vehicles, marine vessels, and aircraft.
  • Controlled burn practices
  • Fumes from paint, aerosol spray, varnish
  • Landfills
  • Military sources
  • Fertilized farmland
Natural Sources :
  • Dust from natural sources
  • Radon gas from radioactive decay
  • Methane, emitted by the digestion of food by animals
  • Wildfires
  • Vegetation
  • Volcanic activity

Mortality rate due to toxic air pollution:

The WHO (World Health Organization) estimated in 2014 that every year toxic air pollution causes the premature death of some 7 million people worldwide.  India has the highest death rate due to air pollution.  India also has more deaths from asthma than any other nation according to the World Health Organization.

In December 2013 air pollution was estimated to kill 500,000 people in China each year. There is a positive correlation between pneumonia-related deaths and air pollution from motor vehicle emissions.

Toxic-free clean air adds 1.7 years to life cycle in India and 1.4 years in Karnataka.

How to prevent toxic air pollution?

Prevention is better than cure.  On Days when High Particle Levels are Expected, Take these Extra Steps to Reduce Pollution. Reduce the number of trips taken in the car. Reduce or eliminate fireplace and wood stove use. Avoid burning leaves, trash, and other materials.

Read more related to this topic: https://www.bangalorean.com/blog/premji-hdk/ 

 

Diabetes rise in 25+ age group

Diabetes rise in 25+ age group

With an increase in sedentary lifestyle like bad lifestyle choices, lack of exercises and sleep patterns,  diabetes has become a common health condition among young Bengalureans.   Over the years, there is a 10% increase in diabetes cases among 20-30 year olds.

According to a recent study, there are over  approximately 75-80 million adults in India who have been detected with diabetes and unfortunately, one in two persons having diabetes do not even know they have this condition.

Diabetes, a condition commonly known as ‘sugar diabetes’ and medically as ‘Diabetes Mellitus’ is a health problem which is associated with increased blood glucose/sugar levels. Major symptoms of the condition includes increased thirst, frequent urination, unexplained weight loss, fatigue, boils on the skin, delayed wound-healing etc.

Experts attribute it to long hours of work.  There are more and more people on graveyard shifts, which has affected individual’s health pattern.  There are fewer places to walk and ready availability of junk food has contributed hugely for this condition.

Increase in diabetes has contributed towards other related problems.  The prevalence of Type 2 diabetes is more where kidney connected ailments also rise than Type1 diabetes.   Those who have diabetes also have hypertension and usually will be overweight, disturbance in vision, burning sensation in the feet and in some cases even heart attack.

Age group is decreasing and genetic factors play an important role.  Modifiable risk factors like inactivity and consumption of high-calorie food are common reasons that are contributing to the onset of diabetes.

Prevention is better than cure.  Follow a strict regime.  Brisk walk for more than 30 minutes or jog for more than 15 to 20 minutes daily will help.  The other form of exercise is cardio exercises at the gym, cycling or swimming.  Avoid consuming carbohydrate rich food and junk food like pasta, pizza etc.  Make little adjustments and changes in food like rice can be replaced by millets as they have a lesser glycemic index.  Learn to say NO to aerated drinks.  Lastly the important thing is to avoid regular intake of sugar rich items.

Replace sugar with coconut sugar, maple sugar, raw honey, molasses, maple syrup, date syrup, brown rice syrup, barley malt syrup, sorghum syrup, yacon syrup, dried fruit and stevia are great health alternatives.

Eat healthy, Stay healthy.

 

 

 

 

 

Namma Bengaluru’s first Breast milk bank

Namma Bengaluru’s first Breast milk bank

Karnataka got its first  breast milk bank, a non-profit breast milk foundation at Fortis La-femme Hospital known as Amaara at namma Bengaluru.  Amaara provides pasteurized human breast milk to high risk new borns and babies whose mothers suffer lactation failure.  The hospital needs more mothers to donate breast milk for needy preterm babies.

Formula feed had been the go-to-solution in the absence of such a facility. Any lactating woman, who is in good physical and mental health and not on any medications or drugs and has an excess amount of milk after satisfactorily feeding her baby, is eligible to donate her milk. All willing mothers will be screened for certain conditions before they can donate their breast milk.

Amaara celebrated first anniversary recently and felicitated donors who have helped around 176 premature babies across 31 Neonatal Intensive Care Units in namma Bengaluru.

Human Breast milk and its benefits have been either understated or left in oblivion for long, leaving mothers unaware of the role it plays in assisting in the healthy nourishment of one’s newborn, and has been sadly left to be viewed and as mere food for babies. Human Breast milk is not just ‘food’, but a complex substance containing antibodies that not only fulfils a newborn’s dietary requirements but also aids in fighting off viruses and bacteria and lowers the risk of allergies, infections and illness in the long run for the child. It is a vital ingredient for the optimal growth and development of full-term babies, but even more so for preemies (preterm babies).

The process followed by the Amaara milk bank is based on the standard technology and methods followed in Europe.

Jayadeva conducted 200 free angioplasties at Bengaluru

Jayadeva conducted 200 free angioplasties at Bengaluru

Sri Jayadeva Institute of Cardiovascular Sciences and Research Sciences and Research, in collaboration with Medtronic, USA and Dr.Govindaraju Subramani Heart Foundation, Illinois, USA organized a free two-day angioplasty workshop for 200 patients from October 11, 2018.

The workshop was planned for 200 poor patients and financially constrained senior citizens across the State.    High quality medicated imported stents were given free of cost to all the patients.

According to hospital director C.N.Manjunath, the angioplasties were planned for 200 poor patients and financially constrained senior citizens, poor farmers, daily wage laborers, footpath vendors, autorickshaw drivers, garment workers from Karnataka, Assam, West Bengal, Andhra Pradesh, Telangana, Tamilnadu, and Bihar.   High quality medicated imported stents were given free of cost to all the patients.

The youngest patient at the workshop was a 28-year-old cashier while the eldest was 81 years old.

Read related to this topic: https://www.bangalorean.com/health-care/golden-hour-scheme-survarna-arogya-suraksha-trust-being-misused-by-private-hospitals/

 

 

Doctors at namma Bengaluru Infected with H1N1 flu

Doctors at namma Bengaluru Infected with H1N1 flu

The sudden rise in H1N1 positive cases in Bengaluru city has set alarm bells ringing.  Adding to this problem is Viral Pneumonia, which is being reported among Influenza A (H1N1) patients, a life-threatening situation.

H1N1 patients need to be quarantined to avoid the spread of infection if a patient shows symptoms of fever, severe cough, throat infection, the respiratory problem with chest comfort.  The worst affected will be elderly persons and those having low immunity.  The infection can be transmitted if a person inhales the droplets of an infected patient.

As on 9th October, 400 H1N1 cases have been reported in Karnataka. According to the latest update, Bengaluru city tops the number of positive cases, by reporting 90 cases, followed by Shivamogga with 43 and Dakshina Kannada with 25 cases.

3 doctors are infected with H1N1 flu.  The doctors may have contracted the infection from the patients who have had severe symptoms of influenza from 3 different hospitals.  One of the doctors is from a government hospital and at the end of the day developed a high fever and after suggestion sent his swab sample for testing which turned out to be positive.  Another doctor had co

This disease is caused by a strain of the Influenza A virus and was found to have been transmitted to humans from pigs.  This can be fatal if not treated on time.

Read related to this Topic: https://www.bangalorean.com/health-care/how-should-every-bangalorean-protect-their-heart/

 

Bengaluru on high alert of H1N1 cases

Bengaluru on high alert of H1N1 cases

3000 houses have been identified with swine flu patients and tablets were distributed to the family members of the affected.

Bengaluru’s health department officials have issued a health alert after the alarming increase in the number of H1N1 cases in namma Bengaluru. A total of 46 of swine flu cases have been confirmed in the city.

According to a report, most swine flu cases in the city have been detected in private hospitals. The officer of Bengaluru Urban District Surveillance department has issued directives to ensure that the ailment is correctly diagnosed and medicines are made available to patients.

Flu stands for influenza, a viral infection caused by the flu virus.  And bird flu is ‘flu occurring in birds’.  Depending on minor differences on the genetic make up of the virus, influenza virus is of type A, B and C. this outbreak is caused by a subtype of influenza A,  known as H5N1.  It is a type of Bird flu that has only spread from birds to humans.  It can happen when a person handles bird droppings pr swims in the same water body as an infected bird.  Chances of the flue spreading through consuming properly cooked chicken and eggs are minimal.

Symptoms in humans usually develop between 2 to 8 days after exposure.  They include fever, sore throat, cough, muscle aches, water eye discharge with redness.   But since many of the symptoms mimic those of human flue, be sure to consult your doctor once.  A throat swab test confirms if the person suffers from the virus.

 

 

 

 

Golden hour scheme – Survarna Arogya Suraksha Trust being misused by private hospitals

Golden hour scheme – Survarna Arogya Suraksha Trust being misused by private hospitals

The Karnataka Government had launched the Chief Minister’s Santwana Scheme to give immediate and instant medical treatment to victims of road accidents during the ‘golden hour’.

The scheme aims to provide financial aid of up to Rs.25,000/- during the first 48 hours of treatment.  The intention of the scheme is to help accident victims.  Under this scheme immediate access to trauma care services to victims should be given.  The scheme covers the entire State irrespective of the victim’s nationality, caste or creed.  This scheme is being handled by Survarna Arogya Suraksha Trust (SAST), has given out Rs.39.57 crore to beneficiaries so far.  According to SAST the scheme has been grossly misused by hospitals since its launch in March 2016.

According to an executive of SAST, application’s which do not have proper documents, especially photo of victims taken before and after the accident will not be considered.  Many hospitals fail to produce documents and in the process, misuse the scheme.

Harish Nanjappa was a victim of the accident.  When his accident took place many bystanders refused to help him when he was calling them to inform that he wanted to donate his organs.

Is it a heart attack or heartburn?

Is it a heart attack or heartburn?

Anyone who is worried about chest Or heart pain should not wait to get urgent medical care. They should call for an ambulance straight away, especially if the pain is unexplained, sudden, or severe.

A heart attack is an event caused by disease in the coronary arteries. These blood vessels supply blood to the heart, keeping it alive with energy and oxygen.  A heart attack can lead to the heart stopping. This is called a cardiac arrest. Someone with cardiac arrest will not be responsive and will have no pulse.

Heartburn is a symptom, not a disease. It is the sensation, usually of burning pain, caused by acid reflux. Acid reflux is the contents of the stomach splashing back up into the food pipe.

Heartburn is not related to the heart in any way. The confusion comes from the location of the pain, in the chest.  The stomach produces mucus to protect its lining from the acid that it uses to help with digestion.

The food pipe lacks this protection, so acid reflux can damage its lining. For many people, though, acid reflux does not cause such damage.

The main difference between symptoms is that:

  • Heartburn tends to be worse after eating and when lying down, but a heart attack can happen after a meal, too.
  • Heartburn can be relieved by drugs that reduce acid levels in the stomach.
  • Heartburn does not cause more general symptoms, such as breathlessness.
  • A heart attack does not cause bloating or belching, but these can happen with heartburn.

If there is any suspicion of a heart attack, getting to an emergency room quickly is important.   If you are not sure to seek medical attention immediately.

Read related to this topic: https://www.bangalorean.com/health-care/every-bangalorean-protect-heart/