Over 46,000 Mumbaikars have succumbed to TB in the last 6 years: Report

July 16, 2014

Mumbaikars TBMumbai, Jul 16: As per RTI data compiled by an NGO, Praja Foundation, in the last one year itself 7,650 people across Mumbai succumbed to various diseases ranging from malaria, tuberculosis to typhoid. From this, the highest number of people (7075) succumbed to TB as per cause of death certificates issued by the BMC’s public health department. Furthermore, through this data, it was found that 46,606 people died due to TB in the last six years itself.

In Maharashtra, every month reports are received at the state office of the deputy chief registrar or birth and death at Pune where in the case of deaths that take place in various hospitals, the head of the institution is responsible for the submission of form no.4 to the local registrar. “Through this data that is being maintained since September 2004 under the Registration of Birth and Death (RBD) Act 1969, we have found major discrepancies in the reporting system of deaths caused by diseases like TB, malaria, dengue, among others,” said Milind Mhaske, project director at Praja Foundation.

The data was collected from civic-run hospitals/dispensaries, state-runs hospitals as well as privately-run ones across Mumbai. “According to data released by BMC in 2014, only 1393 people died due to TB and 30 due to malaria. While RTI data for the same period from cause of death certificates issued by the BMC themselves under RBD Act reveals that this year, 7127 already succumbed to TB and another 199 due to malaria. This is mainly because the BMC only compiles data from their own hospitals and not private or state-run hospitals,” he added.

Other than that, as per BMC records, only 30 patients succumbed to malaria while deaths due to the disease from death certificates stated that 199 citizens lost their lives because of it.

Diarrhoea was another cause of concern as a staggering 1,2 lakh residents were diagnosed with the water borne disease out of which 255 died between 2013-14. Other water borne diseases like cholera and typhoid resulted in seven and 10 deaths respectively. Dengue deaths have also risen from 52 to 74 in the last three years and in 2013, to 108.

The Other Side

When contacted, Dr Mangala Gomare, epidemiologist of the BMC said, “Basically the cause of death (COD) given in death certificates is based on the clinical impression of treating physician or general practitioner available at the time. At times, these doctors aren’t even qualified and the confirmation of the COD can be given only after a diagnostic test like ELISA for dengue. For malaria cases, the death review committee confirms whether the patient died due to the disease or not.”

“Other than that, many patients are shifted to Mumbai and aren’t residents here so their deaths aren’t included in our records,” she added.

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News Network
July 10,2020

Toronto, Jul 10: Pasteurising breast milk at 62.5 degrees Celsius for 30 minutes inactivates the SARS-CoV-2 virus that causes Covid-19, making it safe for consumption by babies, a study claims.

According to the research published in the Canadian Medical Association Journal, current advice for women with Covid-19 is to continue to breastfeed their own infants.

In Canada, it is standard care to provide pasteurised breast milk to very-low-birth-weight babies in hospital until their own mother's milk supply is adequate, the researchers said.

"In the event that a woman who is Covid-19-positive donates human milk that contains SARS-CoV-2, whether by transmission through the mammary gland or by contamination through respiratory droplets, skin, breast pumps and milk containers, this method of pasteurisation renders milk safe for consumption," said Sharon Unger, a professor at the University of Toronto in Canada.

The Holder method, a technique used to pasteurise milk in all Canadian milk banks at 62.5 degrees Celsius for 30 minutes, is effective at neutralising viruses such as HIV, hepatitis and others that are known to be transmitted through human milk, the researchers said.

In the latest study, the researchers spiked human breast milk with a viral load of SARS-CoV-2 and tested samples that either sat at room temperature for 30 minutes or were warmed to 62.5 degrees Celsius for 30 minutes.

They then measured for active virus, finding that the virus in the pasteurised milk was inactivated after heating.

More than 650 human breast milk banks around the world use the Holder method to ensure a safe supply of milk for vulnerable infants, the researchers said.

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February 4,2020

Boston, Feb 4: Practising yoga may increase levels of a messenger molecule involved in regulating brain activity, and completing one yoga class per week may maintain elevated levels of this chemical, according to a study which may lead to better ways of mitigating depressive symptoms.

The study, published in the Journal of Alternative and Complementary Medicine, assessed a group of 30 clinically depressed patients who were randomly divided into two groups.

According to the researchers, including those from Boston University in the US, both groups engaged in coherent breathing, and Iyengar yoga -- a form of hatha yoga, developed by B. K. S. Iyengar, emphasising on detail, precision, and alignment in the performance of yoga postures.

The only difference between the groups, the scientists said, was the number of 90 minute yoga sessions, and home sessions in which each group participated.

Over three months, they said, the high-dose group (HDG) was assigned three sessions per week, while the low-intensity group (LIG) engaged in two sessions per week.

The participants underwent magnetic resonance imaging (MRI) scans of their brain before the first and after the last yoga session, and also completed a clinical depression scale to monitor their symptoms, the study noted.

Results of the study revealed that both groups had improvement in depressive symptoms after three months.

Their MRI analysis showed that levels of the brain messenger molecule GABA were elevated after three months of yoga, as compared to the levels before starting yoga.

According to the study, this increase was found for approximately four days after the last yoga session, but the rise was no longer observed after about eight days.

"The study suggests that the associated increase in GABA levels after a yoga session are 'time-limited' similar to that of pharmacologic treatments such that completing one session of yoga per week may maintain elevated levels of GABA," explained study co-author Chris Streeter from Boston University.

Providing evidence-based data may help in getting more individuals to try yoga as a strategy for improving their health and well-being, the scientists said.

"A unique strength of this study is that pairing the yoga intervention with brain imaging provides important neurobiological insight as to the 'how' yoga may help to alleviate depression and anxiety," said study co-author Marisa Silveri from Harvard University.

In this study, we found that an important neurochemical, GABA, which is related to mood, anxiety, and sleep, is significantly increased in association with a yoga intervention," Silveri said.

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Agencies
February 11,2020

Using smartphone for long hours every day may do you more harm than you can probably think of. Researchers have found that spending a lot of time with the device and on social media may lead to mental distress and suicidality among adolescents.

The findings, published in the journal CMAJ (Canadian Medical Association Journal) contains guidance for physicians, parents and teachers on how to help teenagers manage smartphone and social media use for a healthy balance between sleep, academic work, social activity, interpersonal relationships and online activity.

"Physicians, teachers and families need to work together with youth to decrease possible harmful effects of smartphones and social media on their relationships, sense of self, sleep, academic performance, and emotional well-being," said lead author of the study Elia Abi-Jaoude from Toronto Western Hospital in Canada.

This review of evidence, led by the Hospital for Sick Children (SickKids), focuses on smartphone use and does not consider online gaming.

"For adolescents today, who have not known a world without social media, digital interactions are the norm, and the potential benefits of online access to productive mental health information -- including media literacy, creativity, self-expression, sense of belonging and civic engagement -- as well as low barriers to resources such as crisis lines and Internet-based talking therapies cannot be discounted," the authors wrote.

The researchers recommend that doctors should ask teenagers to reduce social media use rather than eradicate it completely and encourage parents to be part of the conversations.

Parents should discuss appropriate smartphone use with teenagers to determine together how to reduce risks and set boundaries.

A recent poll from the US indicates that 54 per cent of teenagers think they spend too much time on their smartphones and about half said they were cutting back on usage.

"Encouragingly, youth are increasingly recognising the negative impact of social media on their lives and starting to take steps to mitigate it," the authors wrote.

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