'Adherence to prescribed treatment keeps your asthma under control'

[email protected] (CD Network, Photo by Ahmed Anwar )
April 30, 2012

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Mangalore, April 30: Observing the theme 'You can control your asthma' on world asthma day, city doctors highlighted the importance of inhalation therapy in asthma as well as adhering to it can keep asthma under control thus preventing serious asthma attacks and hospitalizations. However in India it is found that compliance to asthma medication regime is very poor and tends to falter after a few months in both children and adults and the rate of non- adherence has been estimated to be around 50%.

Commenting on the reason for non-adherence to asthma medications Dr Vishwas Sharma of A J Hospital, Mangalore, said, ”Adherence to prescribed treatment is the most important aspect of managing a chronic disease like asthma. Many patients once they feel better stop treatment after few weeks. This can be dangerous since stopping treatment can lead to aggravation of the disease and precipitate an asthma attack. Very few asthmatics understand that asthma is an episodic condition which varies between symptomatic and asymptomatic periods. The asymptomatic period is a crucial time in asthma therapy as the patient may discontinue treatment assuming that he/she may not require any more medication”.

Commenting on the scenario of poor asthma control in India, Dr Vishwas Sharma said,”The paradox of asthma in India is that despite the availability and affordability of world class treatment , this totally controllable disease is depriving the asthmatics in the country of a normal life ; many a times subjecting them to traumatic attacks , hospitalization and even resulting in deaths. The most effective asthma treatment is inhalation therapy which comprises of 'controllers ' for regular use as prescribed and 'Relievers ' for emergency treatment. However, unfortunately patients in India have a psychological barrier to inhalers and feel that inhalers are the last resource and could be addictive. They need to be educated about inhalers being the safest and most effective for managing their asthma”.

Asthma has evolved as the most common chronic disease in children and today 1 out of 10 children in India has asthma. Commenting on asthma control among children , Dr Vishwas Sharma said,” Initiation of inhalation therapy in an asthmatic child at the earliest helps in controlling the disease, prevents attacks, preserves the function of his /her lungs and also improves the overall quality of life. However currently many asthmatic children in the country are treated with oral medications due to lack of understanding and acceptance towards inhaled medicines.

He further added, “In such cases, therefore a doctor might have to take out additional time for the child and his /her parents as it is of utmost importance that the parent learns from the doctor the correct inhaler techniques to deliver the medicine. If diagnosed and treated early, an asthmatic child can lead a completely normal childhood.”

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News Network
April 17,2020

Bengaluru, Apr 17: The Ministry of Information and Broadcasting on Thursday served a show cause notice to a Kannada news channel for broadcasting a programme in which it purportedly said that the Centre would 'air drop money' to the poor, owing to the COVID-19 lockdown.

The notice said that the channel was "spreading false information, creating panic and social unrest.

" The channel had allegedly aired a show titled, "Helicopter Money" on Wednesday which claimed that the Centre would drop money from helicopters during the lockdown period.

A Twitter user took a serious note of it and complained to the Union Minister for Information and Broadcasting Prakash Javadekar.

The fact check team of the Press Information Bureau, under the Ministry of Information and Broadcasting, refuted the claim.

In its notice to the channel, PIB said, "You are hereby directed to show cause why your channel should not be taken out of air immediately. You are instructed to send your reply in this regard within 10 days of receipt of this notice."

Reacting to the notice, the management of the news channels said, "A programme which has been seen in bits and pieces and those who have not even seen the programme appears to have complained. Notice will be replied accordingly."

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Agencies
June 30,2020

Washington, Jun 30: Researchers in China have discovered a new type of swine flu that is capable of triggering a pandemic, according to a study published Monday in the US science journal PNAS.

Named G4, it is genetically descended from the H1N1 strain that caused a pandemic in 2009.

It possesses "all the essential hallmarks of being highly adapted to infect humans," say the authors, scientists at Chinese universities and China's Center for Disease Control and Prevention.

The researchers then carried out various experiments including on ferrets, which are widely used in flu studies because they experience similar symptoms to humans -- principally fever, coughing and sneezing. 

G4 was observed to be highly infectious, replicating in human cells and causing more serious symptoms in ferrets than other viruses.

Tests also showed that any immunity humans gain from exposure to seasonal flu does not provide protection from G4.

According to blood tests which showed up antibodies created by exposure to the virus, 10.4 percent of swine workers had already been infected.

The tests showed that as many as 4.4 percent of the general population also appeared to have been exposed.

The virus has therefore already passed from animals to humans but there is no evidence yet that it can be passed from human to human -- the scientists' main worry.

"It is of concern that human infection of G4 virus will further human adaptation and increase the risk of a human pandemic," the researchers wrote.

The authors called for urgent measures to monitor people working with pigs.

"The work comes as a salutary reminder that we are constantly at risk of new emergence of zoonotic pathogens and that farmed animals, with which humans have greater contact than with wildlife, may act as the source for important pandemic viruses," said James Wood, head of the department of veterinary medicine at Cambridge University.

A zoonotic infection is caused by a pathogen that has jumped from a non-human animal into a human.

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News Network
April 19,2020

Kasaragod, Apr 19: Kasaragod, Kerala's COVID-19 hotspot, is the only district in the southern state lacking adequate health infrastructure.

In spite of treating the highest number of COVID-19 patients in the state with meagre infrastructural facilities and even without the support of a medical college in the north Kerala district, no deaths have been reported due to coronavirus.

The state health department views the performance of M Kunhiraman and his team, consisting of Janardhana Naik and Krishna Naik, at the General hospital in Kasaragod as a success story.

"Not only did they control the situation quickly with minimum infrastructure, they also started turning out a large number of negative cases within a few weeks and creditably ensured zero mortality.

This can be showcased as a best global model," Chairman of the Information Education and Communication (IEC) Committee and Project Director Kerala State Aids Control Society, R Ramesh said.

Recalling the ordeal, Janardhana Naik said his first major challenge was the physical examination of a patient with suspected COVID-19.

"Even with the PPE kit, nobody knew how effective they were and it took a whole 30 minutes to wear them properly.

But as time passed, we got accustomed to it," he said.

The traditional method of dealing with a patient involved knowing his or her history, observation and physical examination.

For hundreds of years, the hands-on body approach has been the soul of the doctor-patient relationship -- taking the pulse, tapping on and listening to the chest, feeling lumps.

With the onset of COVID-19 all that has changed.

"In fact, the whole exercise was fraught with grave risks because everything connected with COVID-19 was new.

Doctors have to keep a distance even though the physical examination wearing a Personal Protective Equipment (PPE) is difficult.

Sounds from the body are inaudible, vision is blurred through the smog-covered goggles and a stethoscope seldom has any use," Janardhana Naik said.

It was from March 15 that the hospital started receiving COVID-19 patients, primarily from Dubai.

By the time the first person came, the hospital was ready for him.

Soon, patient numbers began to swell and in a couple of weeks they reached about 91.

From then on, it was teamwork.

Committees were formed for each and every task, including the help desk, IT, treatment, medical board, training, food, waste disposal and data maintenance.

Initially, patients had many misgivings about the hospital.

"Some were disillusioned and even aggressive. Some were not happy with the facilities the hospital had to offer.

But gradually through good treatment and counselling by a psychiatrist, who visited the hospital on alternate days, the confidence and mood of the patients changed and they became friendly with the staff," Naik elaborated.

Counselling was also given to the concerned family members of the patients.

Besides treatment, the medical staff had to spend a considerable amount of time clearing the doubts of patients.

When they got discharged some patients insisted on seeing the faces of the medical staff, who till then were anonymous entities covered from head to toe.

Some even wanted to take selfies with them.

However, the medical team politely turned down their requests and preferred to remain hidden in their work attires.

The mood of the patients also rubbed off on the doctors and hospital staff.

All the physicians and hospital staff are now more confident of dealing with contagious diseases after treating COVID-19 patients.

"Our previous experience of treating H1N1, Chikungunya and Dengue cases helped us a lot.

Words of encouragement from the Health Minister K K Shailaja, Health Principal Secretary Dr Rajan N Khobragade and Health Services Director Dr Sarita R L gave us the impetus to build up confidence.

Moreover, the field health workers did a wonderful job in containing the viral spread," Naik added.

As the number of coronavirus cases rose, the state government on April 5 deputed a 26-member medical team from Thiruvananthapuram to set up a COVID-19 hospital in the district.

They turned a block of the under construction Government Medical College as a hospital-like facility, setting up a 200 bed facility to treat coronavirus patients.

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