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
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
May 2,2020

Clinician-scientists have found that Irish patients admitted to hospital with severe coronavirus (COVID-19) infection are experiencing abnormal blood clotting that contributes to death in some patients.

The research team from the Royal College of Surgeons in Ireland found that abnormal blood clotting occurs in Irish patients with severe COVID-19 infection, causing micro-clots within the lungs.

According to the study, they also found that Irish patients with higher levels of blood clotting activity had a significantly worse prognosis and were more likely to require ICU admission.

"Our novel findings demonstrate that COVID-19 is associated with a unique type of blood clotting disorder that is primarily focussed within the lungs and which undoubtedly contributes to the high levels of mortality being seen in patients with COVID-19," said Professor James O'Donnell from St James's Hospital in Ireland.

In addition to pneumonia affecting the small air sacs within the lungs, the research team has also hundreds of small blood clots throughout the lungs.

This scenario is not seen with other types of lung infection and explains why blood oxygen levels fall dramatically in severe COVID-19 infection, the study, published in the British Journal of Haematology said.

"Understanding how these micro-clots are being formed within the lung is critical so that we can develop more effective treatments for our patients, particularly those in high-risk groups," O'Donnell said.

"Further studies will be required to investigate whether different blood-thinning treatments may have a role in selected high-risk patients in order to reduce the risk of clot formation," Professor O'Donnell added.

According to the study, emerging evidence also shows that the abnormal blood-clotting problem in COVID-19 results in a significantly increased risk of heart attacks and strokes.

As of Friday morning, the cases increased to 20,612 cases in Ireland, with 1,232 deaths so far, according to the Johns Hopkins University.

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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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