'Heart disease set to spike in India, especially in the south'

October 17, 2012

heart

New Delhi, October 17: India is set to witness a spike in deaths due to heart diseases, far exceeding that of China, with more and more younger people falling victim and a large percentage of patients coming from south India, said an expert.

According to well-known radiologist Harsh Mahajan, by 2020 India will have more than 4.77 million deaths a year due to cardiovascular disease (CVD) and 2.58 million deaths due to coronary heart diseases (CHD).

China, which has the world's largest population at 1.34 billion, will have 4.53 million deaths due to CVD and 1.37 million due to CHD by 2020. The figures are from the Global Burden of Diseases Study conducted by WHO.

While north Indian states - including Jammu and Kashmir, Punjab and Uttar Pradesh - have a high percentage of people suffering from heart diseases, south Indian states of Kerala and Tamil Nadu have a higher prevalence of CHD, he said quoting from a study.

"In south India, a lot of people are vegetarian. But vegetarianism is no safeguard. In fact, coconut oil leads to heart diseases," Mahajan said at a talk Tuesday evening at the India International Centre here.

"In 2004, 14 percent of total deaths in India were due to heart diseases... and the percentage keeps rising," said Mahajan, president of the Indian Radiological and Imaging Association and founder of the city's well-known Mahajan Imaging Centre.

Unlike the "mistaken thought" that heart pain occurs on the left side of the chest, the expert said it occurs in the middle of the chest, and some patients could also feel pain in the shoulder, elbow and jaw. This could be accompanied by shortness of breath, a feeling of light-headedness and even severe sweating.

"It is important to recognize the symptoms, and act... even if it seems a case of overkill,"

said Mahajan.

"I am not saying we should get over-anxious, but let us not ignore the symptoms. The first hour is when most of the deaths occur. It may be worth going to the doctor even if it turns out to be a false alarm," Mahajan said.

Diabetic patients don't get the pain indicative of a heart attack coming on "because their nerves get deadened", he said. "Diabetics may never feel chest pain at all," he said.

Other signs to watch out for are the feelings of constriction and discomfort while jogging or running. "When you feel something you've never felt before, if you have any problem while active that is relieved by rest, you need to see the doctor."

While coronary heart diseases are due to arteries getting narrowed due to blockages, Mahajan said "60-70 percent of heart attack patients don't get significant narrowing of arteries".

"It is generally patients who have 30-40 percent blockage with plaque deposits, who are most prone to heart attacks," Mahajan said.

Listing the efficacy of testing mechanisms, Mahajan said ECG/EKG (Electrocardiography) shows up an angina, while X-rays are useful in detecting abnormalities in heart size.

The treadmill test "is not a great test if done in isolation", said Mahajan. According to the expert, the best machine is the Dual Energy GSI Spectral CT Scanner, which his laboratory has introduced in India - the first to do so.

It is a non-invasive test, which can look inside the heart and vessels - even at the stents to see their condition, it can see the plaque deposits. "It is the ultimate tool. Each and every millimetre of the arteries and segment can be seen, as well as the plaque," Mahajan said.

Japan is the only other country in Asia to have a similar machine, which has just got FDA approval. The radiology exposure due to the machine is negligible, he said.

The machine provides 128 slices of imaging of the body. The cost of an imaging is Rs.15,000

Cardiovascular diseases would be the largest cause of death and disability in India by 2020 as per a World Health Organisation (WHO) report. By 2030, it is expected that 23 million people will die from CVDs annually.

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News Network
June 1,2020

New Delhi, Jun 1: The Directorate General of Civil Aviation (DGCA) on Monday asked airlines to allot seats in flights in such a manner that middle seats are kept vacant to the extent possible.

However, if a flyer has been allotted the middle seat due to a high passenger load "then additional protective equipment like the wrap-around gown of the Ministry of Textile approved standards" must be provided to that passenger in addition to three-layered face mask and face shield, said the DGCA order, which has been accessed by news agency.

India resumed its domestic passenger flights from May 25 after a gap of two months due to the coronavirus-triggered lockdown. International commercial passenger flights continue to remain suspended in the country.

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News Network
March 25,2020

Chennai, Mar 25: Tamil Nadu reported its first Covid-19 death at the Rajaji Government Hospital in Madurai this morning. The 54-year-old man from Madurai had no history of travel to any coronavirus-affected state or country.

However, he did have contact with two Thai nationals who had tested positive for Covid-19 and are undergoing treatment in isolation in Erode.

"Despite our best efforts, the #COVID-19 +ve Pt at MDU, #RajajiHospital, passed away few minutes back. He had medical history of prolonged illness with steroid-dependent COPD, uncontrolled Diabetes with Hypertension,” Tamil Nadu health minister C. Vijayabaskar tweeted.

The patient tested positive for the coronavirus on March 23. Yesterday the minister had disclosed that the patient had not responded well to treatment due to his medical condition. “He has a medical history of prolonged illness with steroid dependent COPD, uncontrolled diabetes with hypertension,” he said.

As of Wednesday morning, the total number of Covid-19 infected patients in Tamil Nadu was 18, including one patient who has recovered.

The latest patients include a 65-year-old man who returned from New Zealand and is currently in isolation at a private hospital, a 55-year-old woman from Saidapet who is currently in quarantine Kilpauk Medical College Hospital, and a 25-year-old who returned from London and is undergoing treatment at the Rajiv Gandhi Government General Hospital.

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Agencies
March 1,2020

Kolkata, Mar 1: The Calcutta High Court has ruled that it is not mandatory for foreigners to produce a valid passport and its particulars for processing of application for grant of Indian citizenship if he is able to satisfy the appropriate authorities the reasons for non-availability of the document.

Justice Sabysachi Bhattacharya passed the order while disposing off a petition by granting the petitioner liberty to file an application before the authority "as contemplated in Rule 11 of the Citizenship Rules 2009, upon furnishing explanation as to the non-availability of the passport".

Bismillah Khan had filed the petition saying he was being denied the citizenship of India because of his inability to file an application under Section 5 (1) (c) of the Citizenship Act, 1955, apparently due to the mandatory requirement of furnishing a copy of the passport for such application.

The petitioner's counsel submitted that Khan was a Pakhtoon citizen and due to political turmoil in the said state, which subsequently merged partially into Afghanistan and partially into Pakistan, he, as a five-year old, had to migrate to India with his father in 1973.

Under such circumstances, the petitioner could not have any opportunity of having a valid passport, since they were refugees under distress, the counsel said.

The petitioner had previously approached a coordinate Bench of the court, wherein a single judge, passed an order on July 25, 2018, directing him to comply with the formalities required, as communicated by the secretary to the Government of India to the Secretary to the Government of West Bengal (Home), vide a letter dated December 7, 2017.

The court had then also given liberty to the petitioner to apply afresh before the appropriate authority under Section 5(1)(c) of the 1955 Act, having complied with all the formalities.

The petitioner then moved Bhattacharya's court submitting that a complete application as directed by the Coordinate Bench cannot be possibly filed by his client due to the mandatory requirement of uploading a copy of his passport, which the petitioner does not have due to reasons beyond his control.

The counsel said Khan is married to an Indian citizen, has a daughter and living in India for close to half a century.

The counsel for the union of India submitted that in view of no application having been filed by the petitioner, there is no scope of granting such proposed application at the present juncture for the Union.

The counsel argued that it is mandatory to file an application in Form III for the application of the petitioner under Section 5(1)(c) of the Act to be considered at all.

In view of the petitioner not complying with the mandatory requirement of submitting a copy of his passport, the state government cannot, under the law, forward such application to the union government.

After hearing all sides, Justice Bhattacharya said although the rule "contemplates that an application shall not be entertained unless the application is made in Form III, such provision ipso facto does not make the availability of a passport a mandatory requirement".

"..the Form given with the Rules or the Rules themselves cannot override the provision of the statute itself, under which the said Rules are framed, which does not stipulate such a mandate on the applicants for citizenship under Section 5 (1)(c) of the 1955 Act mandatorily to carry a passport".

The court said although such provision is included in the Form, which has to be complied with by the applicant, "it is nowhere indicated in such Form that all the relevant particulars, including the particulars regarding passport of the petitioner have to be furnished mandatorily, along with a copy of a valid foreign passport, even in the event the petitioner, for valid reasons, is not in a position to produce such passport".

Justice Bhattacharya ruled that under such circumstances, it cannot be held that the provision of producing a passport and its particulars is mandatory in nature and there has to be a relaxation in such requirement "in case the petitioner is able to satisfy the appropriate authorities the reasons for non- availability of such passport".

"Unless such a leeway is given to the applicants, genuine persons who otherwise have all the formal documents indicating that they have been residing in India for a long time and have married a resident of India would also be unable to apply for Indian Citizenship despite having lived their entire lives and contributed to the economy and diverse culture of this country."

He said such a scenario would be contradictory to the spirit of Article 14 of the Constitution of India.

"In such view of the matter, the requirement of having a passport has to be read as optional in Form III of the Citizenship Rules, 2009 and the authorities are deemed to have the power to relax such 6 requirement in the event the applicant satisfied the authorities for genuine reasons why the applicant is not in a position to produce such passport," the February 24 order said.

The court ruled that despite the provision of making applications online, a provision has to be made for persons who do not have all the particulars of their passport, which is read as optional, to file applications manually, which are to be treated as valid applications under Rule 5 of the Citizenship Rules, 2009.

The court also ordered that alternatively the necessary software be amended so that the online applications can be presented with or without passports, in the latter case furnishing detailed reasons as to non-furnishing of passports.

"Sanctioning of such forms, however, will be conditional upon the satisfaction of the relevant authorities about the reasons for the applicant not being able to produce her/his passport," the order said.

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