India likely to generate 775.5 tonnes of medical waste daily by 2020: Study

Agencies
March 23, 2018

New Delhi, Mar 23: India is likely to generate about 775.5 tonnes of medical waste per day by 2022 from the current level of 550.9 tonnes daily, a study conducted jointly by industry body ASSOCHAM and Velocity has said.

The study, which was released yesterday, said medical waste is expected to grow at a compounded annual growth rate (CAGR) of about 7 percent.

Titled 'Unearthing the Growth Curve and Necessities of Bio-Medical Waste Management in India-2018', the study stressed on the need for stringent monitoring and evaluation framework to ensure safe and effective management of waste.

Releasing the paper, Dr Kirti Bhushan, the Director General of Health Services of the Delhi government said, "Safe and effective management of waste is not only a legal necessity but also a social responsibility. Lack of concern, motivation, awareness and cost factor are some of the problems faced in proper biomedical waste management."

Waste management market in India is expected to reach USD 13.62 billion by 2025, Dr Bhushan said, adding, "There is a need for education regarding the hazards associated with improper waste disposal. Education of staff about management of biomedical waste is crucial in today's healthcare arena."

Major waste sections such as municipal solid waste management market, e-waste market and bio-medical waste are expected to grow at CAGR of 7.14 percent, 10.03 percent and 8.14 percent respectively.

According to the study, the key challenges in bio-medical waste management include speed of data availability, under-reporting of waste generated and handling capacity, the operation of healthcare facility without authorisation under Biomedical Waste Management Rules, lack of awareness among various sections of the staff at all levels among others.

Inadequate waste management can cause pollution, growth and multiplication of vectors like insects, rodents and worms and may lead to transmission of diseases like typhoid, cholera, hepatitis and AIDS through syringes and needles, the report stated.

In addition to health risks associated with poor management of medical waste, its impact on the environment, especially to the risks of pollution of water, air and soil in developing countries must also be considered, it said.

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Agencies
March 3,2020

Taking multiple courses of antibiotics within a short span of time may do people more harm than good, suggests new research which discovered an association between the number of prescriptions for antibiotics and a higher risk of hospital admissions.

Patients who have had 9 or more antibiotic prescriptions for common infections in the previous three years are 2.26 times more likely to go to hospital with another infection in three or more months, said the researchers.

Patients who had two antibiotic prescriptions were 1.23 times more likely, patients who had three to four prescriptions 1.33 times more likely and patients who had five to eight 1.77 times more likely to go to hospital with another infection.

"We don't know why this is, but overuse of antibiotics might kill the good bacteria in the gut (microbiota) and make us more susceptible to infections, for example," said Professor Tjeerd van Staa from the University of Manchester in Britain.

The study, published in the journal BMC Medicine, is based on the data of two million patients in England and Wales.

The patient records, from 2000 to 2016, covered common infections such as upper respiratory tract, urinary tract, ear and chest infections and excluded long term conditions such as cystic fibrosis and chronic lung disease.

The risks of going to hospital with another infection were related to the number of the antibiotic prescriptions in the previous three years.

A course is defined by the team as being given over a period of one or two weeks.

"GPs (general physicians) care about their patients, and over recent years have worked hard to reduce the prescribing of antibiotics,""Staa said.

"But it is clear GPs do not have the tools to prescribe antibiotics effectively for common infections, especially when patients already have previously used antibiotics.

"They may prescribe numerous courses of antibiotics over several years, which according to our study increases the risk of a more serious infection. That in turn, we show, is linked to hospital admissions," Staa added.

It not clear why hospital admissions are linked to higher prescriptions and research is needed to show what or if any biological factors exist, said the research team.

"Our hope is that, however, a tool we are working for GPs, based on patient history, will be able to calculate the risks associated with taking multiple courses of antibiotics," said Francine Jury from the University of Manchester.

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Agencies
February 6,2020

Researchers have found the rates of lung cancer are higher in young women than men.

The study, published in the journal Pediatrics, examined lung cancer rates in young adults in 40 countries across five continents and uncovered a trend of higher lung cancer rates in women compared with men in recent years.

The emerging trend was widespread, affecting countries across varied geographic locations and income levels.

The changes appeared to be driven by a rising rate of adenocarcinoma lung cancer among women, said the study researchers from University of Calgary in Canada.

Lung cancer rates have been higher among men than women because men started smoking in large numbers earlier and smoked at higher rates; however, recent studies have reported converging lung cancer incidence rates between sexes.

Among men, age specific lung cancer incidence rates generally decreased in all countries, while in women the rates varied across countries with the trends in most countries stable or declining, albeit at a slower pace compared to those in men.

For the findings, lung and bronchial cancer cases between 30-64 age group from 1993-2012 were extracted from cancer incidence in five continents.

The study found the higher emerging rates of lung cancer in young women compared to young men.

According to the researchers, future studies are needed to identify reasons for the elevated incidence of lung cancer among young women.

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