'Excessive use of AC may cause facial paralysis'

KT
April 13, 2018

Dubai, Apr 13: With temperatures ready to soar in the UAE, experts are warning residents to be aware of a certain condition that is caused by a high usage of air conditioners across the country. The sudden transition from extremely warm temperatures outdoors to cold temperatures indoors is one of the leading concerns associated with Bell's palsy, a facial paralysis caused due to the inflammation of the facial nerve in the skull.

The lesser-known condition is characterised by the inability to move one side of the facial muscles and is often mistaken for a brain stroke by patients' due to appearance similar symptoms. Bell's Palsy also causes drooping of the facial muscles, twitching, weakness, drooling, pain around the ear and increased sensitivity to sound.

According to most international population studies, 15-30 cases per 100,000 population of Bell's palsy are observed annually. Additionally, Bell's palsy accounts for 60-75 per cent of acute unilateral facial paralysis cases with the right-side being affected 63 per cent of the time. In rare cases, the condition can occur on both sides of the face.

Due to the onset of summer, doctors are advising people of all age groups to be careful and seek medical assistance in case of any sudden numbness on the face. Sleeping in extremely cold temperatures, leaving your hair wet in cold temperatures and sudden fluctuations between extreme temperatures should be avoided as much as possible.

Recounting a recent case of a young UAE resident, Maria Kristina, physiotherapist, Canadian Specialist Hospital, said: "Eliza was on vacation in Europe when she developed the condition. Following a hot shower, Eliza left the window open and fell asleep with her hair still wet and woke up with numbness around her mouth the next morning. The condition worsened in the next 48 hours and the right side of her face appeared to be paralysed."

Eliza decided to fly back to the UAE for a second opinion. At the Canadian Specialist Hospital, she was referred to the rehabilitation department, where she was treated by physiotherapy in addition to the traditional medication. Eliza completely recovered her facial symmetry after eight sessions and was able to move her facial muscles like before.

"When Eliza visited us, she was unable to fully close her right eye and move her right eyebrow, she couldn't smile, whistle, eat or even drink properly. However, after her third session itself, her muscles had started functioning and she was able to move her eyebrows and lips," said Kristina.

The methods used during physiotherapy include electrical stimulation to help restore the tone and strength of the facial muscles, infrared radiation to improve blood circulation, facial massages to prevent drooping and facial exercises to regain muscle movement. Due to the lack of muscle movement, patients suffering from Bell's Palsy are unable to close their eye leading to increased exposure to light and dust. The constant exposure to air may lead to eye dryness and damage, hence, patients are advised to wear protective eyewear at all times.

"Bell's Palsy is more common than thought due to the high usage of air conditioners in the region. The condition may occur from the transition of cool AC temperatures to the warm temperatures outdoors. Extreme cold temperatures in offices, houses, malls and cinemas may trigger damage to the facial nerve in rare cases and should be avoided. Kids area should always be moderately cool as they too are at risk of developing the condition", added Kristina.

Speaking about the main cause of the disease, Dr Caesar Zahka, consultant neurologist at Burjeel Hospital for advanced surgery, said: "Many people get it after they get out from a warm or hot place (like out of a hot shower) to a cool place with high AC. This sudden change in temperature could be responsible for activating a latent virus in a person causing the problem. The recovery from Bel's palsy takes from few days to at times a year or more. About 10-30 per cent of people may not recover at all."

In addition to medications, doctors now recommend immediate physiotherapy as it expedites the growth of the damaged nerve and helps gain full recovery. Moreover, physiotherapy helps restore the original symmetry of the face and regain complete muscle movement.

What is Bell's palsy?

The condition may occur due to a viral infection or sudden change in temperature which may trigger the nerve damage in the skull leading to paralysis of facial muscles. The damage causes the facial nerve to die and requires proper medications and treatment to help the nerve regrow to its initial length.

Key tips to stay safe in summer:

>Stay clear of the AC vents to avoid direct gush of cold air

>Ensure that there isn't a vast difference between your car's indoor temperature as compared to outdoors

>Use an umbrella, sunglasses or scarf to protect yourself

>Keep yourself hydrated at all times

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Agencies
July 21,2020

New Delhi, Jul 21: The Centre has written to all states and union territories warning against the use of N-95 masks with valved respirators by people, saying these do not prevent the virus from spreading out and are "detrimental" to the measures adopted for its containment.

The Director General of Health Services (DGHS) in the Ministry of Health, in a letter to the Principal Secretaries of health and medical education of states, said it has been observed that there is "inappropriate use" of N-95 masks, particularly those with valved respirators, by the public other than designated health workers.

The DGHS referred to the advisory on the use of homemade protective cover for face and mouth available on the website of the Ministry of Health.

"It is to bring to your knowledge that the use of valved respirator N-95 masks is detrimental to the measures adopted for preventing the spread of coronavirus as it does not prevent the virus from escaping out of the mask. In view of the above, I request you to instruct all concerned to follow the use of face/mouth cover and prevent inappropriate use of N-95 masks," DGHS Rajiv Garg said in the letter.

The government had in April issued an advisory on the use of homemade protective cover for face and mouth, asking people to wear it, particularly when they step out of their residences.

The advisory stressed such face covers must be washed and cleaned each day, as instructed, and stated that any used cotton cloth can be used to make this face cover.

The colour of the fabric does not matter but one must ensure that the fabric is washed well in boiling water for five minutes and dried well before making the face cover. Adding salt to this water is recommended, it said.

It also listed the procedures of making such homemade masks, asking to ensure it fits the face well and there are no gaps on the sides.

It urges people to wash hands thoroughly before wearing the face cover, switching to another fresh one as the face cover becomes damp or humid, and never reusing it after single use without cleaning it.

"Never share the face cover with anyone. Every member in a family should have separate face cover," the advisory stated.

India's COVID-19 case tally crossed the 11-lakh mark on Monday, while the total number of recovered patients increased to over seven lakh, according to Union health ministry data.

The death toll due to the disease rose to 27,497 with 681 fatalities reported in one day.

The ministry data updated at 8 am on Monday showed that a record single-day jump of 40,425 COVID-19 cases had taken the total number of cases to 11,18,043.

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News Network
January 24,2020

Davos, Jan 24: Pakistan Prime Minister Imran Khan claimed that he met with a “brick wall” when he approached Indian Prime Minister Narendra Modi with a peace proposal, soon after assuming office.

In an interview to Foreign Policy magazine on the sidelines of WEF 2020 here, Khan also said he told Modi that Pakistan will act firmly if it was given evidence of any involvement in the Pulwama terror attack, but India instead “bombed” Pakistan.

Tensions have escalated between the two countries, following India withdrawing the special status of Jammu and Kashmir in August 2019. Even since, Khan has been trying to seek global intervention to de-escalate the tensions between the two countries.

On Thursday, India's External Affairs Ministry spokesperson Raveesh Kumar categorically ruled out any third party role on the Kashmir issue, asserting that any issue between the two countries should be resolved bilaterally.

In the interview, Khan said that he is a firm believer that military means are not a solution to ending conflicts. “After assuming office, I immediately reached out to Prime Minister Modi. I was amazed by the reaction I got, which was quite weird.

The subcontinent hosts the greatest number of poor people in the world, and the best way to fight poverty is to have a trading relationship between the two countries rather than spending money on arms. This is what I said to the Indian Prime Minister. But I was met by brick wall,” Khan said.

Khan took charge as Prime Minister in August 2018. Referring to the suicide attack in Pulwama, Khan said he immediately told Modi ,“if you can give us any actionable intelligence (that Pakistanis were involved), we will act on it. But rather than do so, they bombed us.”

Noting that the both countries are not close to conflict right now, Khan said that it is important that the UN and the US act.

When asked about US President Donald Trump’s close relationship with Modi, Khan said the relationship is understandable because India is a huge market. “My concern is not about the US-India relationship. My concern is the direction in which India is going,” Khan said.

Khan also sought to compare the events in India to what happened in Nazi Germany.

“Between 1930 and 1934, Germany went from a liberal democracy to a fascist, totalitarian, racist state. If you look at what is happening in India under the BJP in the last five years, look where it's heading, you'll see the danger. And you're talking about a huge country of 1.3 billion people that is nuclear-armed,” he said.

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News Network
January 27,2020

Kolkata, Jan 27: The West Bengal government on Monday tabled a resolution against the Citizenship (Amendment) Act in the Assembly.

The resolution appeals to the Union government to repeal the amended citizenship law and revoke plans to implement NRC and update NPR.

As per reports, state Parliamentary Affairs Minister Partha Chatterjee introduced the resolution in the House around 2 pm.

Three states - Kerala, Rajasthan and Punjab - have already passed resolutions against the new citizenship law.

The law has emerged as the latest flashpoint in the state, with the TMC opposing the contentious legislation tooth and nail, and the BJP pressing for its implementation.

The new citizenship law has emerged as the latest flashpoint in the state, with the TMC opposing the contentious legislation tooth and nail, and the BJP pressing for its implementation.

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