Indians with diabetes may number 120 million in 20 years: Indian Institute of Public Health

April 6, 2017

Hyderabad, Apr 6: The number of diabetes patients in the country is likely to go up to 120 million in next 20 years as against the current 70 million, an official of Indian Institute of Public Health (IIPH) has said.

DiabetesAlso, on an average every diabetic spends about Rs 25,000 annually to manage the disease and its associated complications, IIPH, Hyderabad, Director GVS Murthy said today on the eve of World Health Day.

"India has the second largest number of people with diabetes which is at 70 million, next only to China which has about 110 million. The number of diabetes patients in India is expected to touch 120 million during the next two decades, due to a variety of reasons," Murthy told PTI.

According to him, in 50 per cent of adult deaths, diabetes is an underlying condition causing the demise.

It is estimated that globally the health expenditure due to diabetes among adults is USD 673 billion.

The expenditure on diabetes is at the government level as well as the individual patient/family level, he said.

"The per person annual cost of managing diabetes in India is Rs 25,000 approximately. There will be a wide variation based on complications, etc. Unfortunately insurance schemes in India do not cover the cost of care for diabetes," he further said.

He said the theme of the 2017 World Health Day campaign is depression.

The World Health Day is observed on April 7 every year to mark the anniversary of the founding of WHO.

Murthy said diabetes may also cause depression in a patient if the disease is not properly controlled.

"The diabetes patients need to take medication life long. Some of the important organs like eyes and kidneys may be affected if diabetes is not controlled. These kind of issues may cause depression. So the patients are to be counselled before hand," he said.

The IIPH director said India needs to look at how yoga, meditation and lifestyle modifications can reduce the progression of diabetes and help in its prevention.

In 2011, the Central government had started a National Programme for Non Communicable Diseases (NCD), which also includes diabetes. It was first started in 100 districts on a pilot basis and has now been extended to 500 districts.

Murthy said under the programme, free medicines are provided for diabetes at all NCD clinics. An annual screening for diabetes is done and insulin is provided at all the emergency facilities.

To a query, he said the Public Health Foundation of India (PHFI) plays important role in spreading awareness about diabetes and its implications.

The Indian Institutes of Public Health have been established by PHFI with an aim to make their education and research activities relevant to India in content and context, while attaining standards which are qualitatively comparable with the best in the world.

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Agencies
May 17,2020

Geneva, May 17: Spraying disinfectant on the streets, as practised in some countries, does not eliminate the new coronavirus and even poses a health risk, the World Health Organization (WHO) warned on Saturday.

In a document on cleaning and disinfecting surfaces as part of the response to the virus, the WHO says spraying can be ineffective. "Spraying or fumigation of outdoor spaces, such as streets or marketplaces, is... not recommended to kill the Covid-19 virus or other pathogens because disinfectant is inactivated by dirt and debris," explains the WHO.

"Even in the absence of organic matter, chemical spraying is unlikely to adequately cover all surfaces for the duration of the required contact time needed to inactivate pathogens." The WHO said that streets and pavements are not considered as "reservoirs of infection" of Covid-19, adding that spraying disinfectants, even outside, can be "dangerous for human health".

The document also stresses that spraying individuals with disinfectants is "not recommended under any circumstances".

"This could be physically and psychologically harmful and would not reduce an infected person's ability to spread the virus through droplets or contact," said the document.

Spraying chlorine or other toxic chemicals on people can cause eye and skin irritation, bronchospasm and gastrointestinal effects, it adds.

The organisation is also warning against the systematic spraying and fumigating of disinfectants on to surfaces in indoor spaces, citing a study that has shown it to be ineffective outside direct spraying areas.

"If disinfectants are to be applied, this should be done with a cloth or wipe that has been soaked in disinfectant," it says.

The SARS-CoV-2 virus, the cause of the pandemic that has killed more than 300,000 people worldwide since its appearance in late December in China, can attach itself to surfaces and objects.

However, no precise information is currently available for the period during which the viruses remain infectious on the various surfaces.

Studies have shown that the virus can stay on several types of surfaces for several days. However, these maximum durations are only theoretical because they are recorded under laboratory conditions and should be "interpreted with caution" in the real-world environment.

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Agencies
June 11,2020

The World Health Organisation (WHO) Director-General Tedros Adhanom Ghebreyesus said that more research needs to be done to better understand the extent to which COVID-19 is being spread by people who don't show symptoms.

"Since early February, we have said that asymptomatic people can transmit COVID-19, but that we need more research to establish the extent of asymptomatic transmission," the WHO chief said at a virtual press conference from Geneva on Wednesday, Xinhua news agency reported.

"That research is ongoing, and we're seeing more and more research being done," he added.

Saying that the world has been achieving a lot in knowing the new virus, the WHO chief told reporters that "there's still a lot we don't

"WHO's advice will continue to evolve as new information becomes available," he said.

Tedros stressed that the most critical way to stop transmission is to find, isolate and test people with symptoms, and trace and quarantine their contacts.

"Many countries have succeeded in suppressing transmission and controlling the virus doing exactly this," Tedros said.

Meanwhile, Michael Ryan, executive director of WHO Health Emergencies Program, said Wednesday that the COVID-19 pandemic is still evolving.

"If we look at the numbers... this pandemic is still evolving. It is growing in many parts of the world," he said. "We have deep concerns that health systems of some countries are struggling, under a huge strain and require our support, our help and our solidarity."

He said "each and every country has a different combination of risks and opportunities, and it's really down to national authorities to carefully consider where they are in the pandemic."

In Europe, the risk issue now are about travels and the opening of the schools, around risk management, mass gathering, surveillance and contact tracing, said the WHO official.

In Southeast Asian countries, where to a great extent transmissions have been under control, governments are more concerned about the re-emergence of clusters, while in South America, the issue of PPE for health workers has not gone away, said Ryan.

As regards Africa, Ryan said the death rates have been very low in the past week, but the health system can be overwhelmed, as it would have to cope with other diseases such as malaria.

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Agencies
May 25,2020

Singapore, May 25: COVID-19 patients are no longer infectious after 11 days of getting sick even though some may still test positive, according to a new study by infectious disease experts in Singapore.

A positive test "does not equate to infectiousness or viable virus," a joint research paper by Singapore's National Centre for Infectious Diseases and the Academy of Medicine, Singapore said. The virus "could not be isolated or cultured after day 11 of illness."

The paper was based on a study of 73 patents in the city-state.

The latest findings may have implications on the country's patient discharge policy. The discharge criteria is currently based on negative test results rather than infectiousness.

Singapore's strategy on managing COVID-19 patients is guided by the latest local and international clinical scientific evidence, and the Ministry of Health will evaluate if the latest evidence can be incorporated into its patient clinical management plan, according to a report by the Straits Times.

So far, 13,882, or about 45% of the total 31,068 Covid-19 patients in Singapore have been discharged from hospitals and community facilities. Singapore reported 642 new Covid-19 cases as of noon on Saturday.

The government has been actively screening pre-school staff as it prepares to reopen pre-schools from June 2. On Friday, two pre-school employees tested positive for the novel coronavirus, bringing the total number of confirmed cases among pre-school staff to seven, according to the Ministry of Health.

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