Jammu || In a shocking revelation, the state’s oldest healthcare unit, Shri Maharaja Gulab Singh (SMGS) Hospital in Jammu, has witnessed the death of over 11,000 children, including infants, during the past 15 years.
This is despite the fact that the state government’s claims for registration of a significant 8 per cent decline in the Infant Mortality Rate (from 26 per 1,000 births to 24 per 1,000 births).
“The total number of children expired in SMGS Hospital during the last 15 years is 11,420. The number of children admitted to the hospital for the period (since 2003) is 2,84,890,” revealed the official statistics accessed by a Jammu-based activist Rohit Choudhary under the Right to Information (RTI) Act.
The SMGS Hospital, a tertiary care unit, came into existence in 1940 when Maharaja Hari Singh, the last ruler of J&K who executed the Instrument of Accession in 1947, had laid its foundation. He christened it on his great-grandfather’s name as Maharaja Gulab Singh.
The statistics shows that there were 652 deaths of children, both in neonatal intensive care unit and post-neonatal, in paediatrics department of the hospital in 2003. The number of children admitted to the hospital at that time was 14,296 which had gone up to 25,971 in 2017. The last year’s death count was 544.
“The highest number of deaths was recorded in 2010 when a total of 883 children expired in the hospital. The year 2012 and 2013 too witnessed deaths on the higher side when 843 and 845 children died in the hospital, respectively,” the statistics stated.
The hospital authorities also divulged the five causes of high death rate of children in the hospital and said, “At least 2,097 children died of septicemia (serious bloodstream infection) while 3,379 died due to birth anoxia (brain completely deprived of oxygen). In all, 1,437 children died due to respiratory distress syndrome, 690 died of meningitis (inflammation of membranes surrounding brain and spinal cord) or meningocephalitis and 811 due to respiratory infections.”
Surprisingly, the department of paediatrics has just eight faculty members, 13 registrars and six medical officers to provide “quality” healthcare to thousands of patients reaching the hospital every year.
The hospital authorities also revealed that the number of general beds sanctioned was 550 and 200 beds for the paediatrics department, taking the total bed capacity ofthe hospital to 750.
The activist has described the details as “shocking” and questioned the state government’s healthcare policy. “The details have exposed the tall claims of the state government on improving healthcare despite the fact that we have spent millions of rupees to create infrastructure and manpower,” Choudhary said.
A senior doctor, preferring anonymity, cited “referral system” as the major cause of chaotic situation in the hospital and advocated fora comprehensive “referral policy” to bring down the morality rate.
Jammu government doctor sacked over Facebook post
Jammu || The Jammu and Kashmir government has terminated the services of the Registrar of the Government Medical College (GMC) Jammu for an “anti-government” post on Facebook, an official said on Sunday.
Amit Kumar was sacked after he violated rules that prevent a government servant from using social media to write anti-government posts. Kumar had been appointed for three years on contract to serve at the GMC Jammu.
The official said Kumar used his Facebook account to “provoke” readers.
Doctors hold protest march against NMC Bill
Jammu Voice News
New Delhi : A group of doctors took out a protest march from AIIMS hospital to Parliament on Wednesday against the National Medical Commission Bill, 2017.
The bill, which seeks to replace and subsume the Medical Council of India (MCI) with a new body, was tabled in the Rajya Sabha in January by Union Health Minister J.P. Nadda.
According to the bill, practitioners of Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy, can practice modern medicine once they complete a short-term “bridge” course.
The bill is also aimed at bringing reforms in the medical education sector which has been under scrutiny for corruption and unethical practices.
However, the Indian Medical Association (IMA) has termed the bill as “draconian and undemocratic” and called for its withdrawal. (ANI)
All About AIDS – Jammu Voice
Dr Devraj Dogra, Dr. Mubashar Mashqoor Mir
As we step into 2017 celebrating a successful crusade against the AIDS epidemic lets pledge to not let the noose loose till the time we finish this menace from its very roots.
“The global HIV/AIDS epidemic is an unprecedented crisis which needs an unprecedented response” – Kofi Anan
We have taken great leaps of success in the recent years in our fight against HIV/AIDS with a committed global and national effort, public awareness campaigns, introduction of highly active antiretroviral therapy (HAART) and the behavioral change in the masses. Presently there are more than 25 drugs approved by FDA for treatment of AIDS. The global as well as national trends are encouraging. In India the new annual HIV infections have fallen down from 2.7 lakh to 1.1 lakh by 57 percent between the years 2000-2011.
It must be understood that not all HIV infected individuals have AIDS, a patient is said to have AIDS only after the infection has progressed to a stage where the clinical manifestations take the center stage.
THE CHALLENGES AHEAD
Studies reveal that even the most developed nations are not adequately aware of the disease and its extent. Centre for Disease control and Prevention(CDCP) report revealed that about 21 percent of total American population infected with HIV are unaware of their HIV status and about one –third of them are in the stage of late diagnosis. In India, AIDS as a disease is changing its demographic form with the increase in number of female population getting infected and the shift from urban to the rural areas where the level of preparedness and awareness is much lesser
HIV VIRUS AND ITS PECULIARITIES
HIV virus has a special affinity to attack immune cells especially the CD4 T helper Cells. It gains entry into these cells and starts replicating in presence of circulating antibodies evading the body’s immune system. As it affects mainly the resting immune cells known as “memory cells” the infection is not picked up by the body’s defense and the disease keeps progressing silently during the stage of clinical latency. Also the virus is prone to errors during its replication, thus it keeps on changing its form and this is a main reason for it developing resistance to drugs and the difficulty in making a vaccine against it.
Aids is causes by a RNA virus called Human Immunodeficiency virus, the origin of which can be traced back to Simian immunodeficiency virus (SIV) found in the chimpanzees and monkeys of African region, it is thus believed that this virus may have been transmitted to humans from infected animals. The first case of aids was diagnosed in United States in the year 1981 in a group of homosexuals. Since then aids has progressed consistently to become a global pandemic affecting almost all regions and races.
MODES OF TRANSMISSION
It should be understood that not all body fluids transmit HIV from one person to the other. While it may spread via infected blood, semen, breast milk and vaginal secretions it is usually not present in saliva, tears, sweat, urine or stools.
The major modes of transmission are by an unprotected sexual intercourse with an infected partner, from an infected mother to her child and through contaminated blood in the form of blood transfusion or use of infected syringes.
It accounts for the most common route of spread overall. In India most of the people (over 88 percent) acquire infection through heterosexual or male-female contact. In male-female sexual intercourse females have higher chance of transmission being the receptive partners and the fact that reproductive infections facilitating the transmission are more common in females. While heterogeneous sexual transmission is most common mode of sexual transmission the risk in male to male sexual intercourse is 20 times higher .Other factors which increase the risk of spread are uncircumscribed males, unprotected sex, anal sex, multiple partners and presence of
Dr Devraj Dogra. Dr Mubashar MIr
Prof. & head of department. M.D Resident
Department of dermatology Department of Dermatology
GMC Jammu. GMC Jammu
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