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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Agencies
May 30,2020

Drinking coffee may help reduce the risk of certain digestive disorders, including gallstone disease and pancreatitis, a new study has suggested.

The study from the Institute for Scientific Information on Coffee (ISIC) also highlighted other beneficial effects that coffee consumption may have on the process of digestion, including supporting gut microflora and promoting gut motility.

"Data indicates benefits against common digestive complaints such as constipation, as well as a potential reduction in the risk of more serious conditions like chronic liver diseases," said study author Carlo La Vecchia from the University of Milan in Italy.

Gallstone disease is a common digestive disorder, caused by the accumulation of gallstones in the gallbladder or bile duct, which affects approximately 10-15 per cent of the adult population.

While the mechanism by which coffee may protect against gallstone disease is not yet known, it has been observed that the risk for the condition declines with increasing daily consumption of coffee, the researchers said.

Caffeine is thought to play a role in these associations, as the same effect is not observed with decaffeinated coffee.

A common question among consumers and focus area for research is whether coffee is associated with heartburn or gastro-oesophageal reflux disease (GORD).

While a small number of studies have suggested an association between coffee drinking and GORD, the majority of studies reviewed suggest that coffee is not a major trigger of these conditions.

The report also reviewed a growing area of health and nutrition research, namely: the effect of coffee on the gut microflora (microorganism populations).

Recent studies suggest that populations of the beneficial gut bacteria Bifidobacterium spp, increase after drinking coffee.

The findings showed the dietary fibre and polyphenols found in coffee, support the healthy growth of microflora populations.

Additional research findings highlighted that coffee consumption is thought to stimulate digestion by encouraging the release of gastric acid, bile and pancreatic secretions.

Coffee is one of the most widely researched components of the diet, and its effect on digestion remains a growing area of research, the researchers noted.

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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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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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