Govt to set up NIMHANS-like institutes; every 20th Indian depressed: Nadda

April 8, 2017

New Delhi, Apr 8: Every 20th Indian is in the grip of depression, said Union Minister of Health JP Nadda on Friday and assured more NIMHANS (National Institute of Mental Health and Neuro Sciences)-like institutes would be set up in the country.

depressedSpeaking at an event here to mark the World Health Day, Nadda also assured greater government focus on civil society organisations engaged in mental healthcare.

The health minister said that proper implementation of the Mental Health Policy would be ensured.

"Focus should be on pluralism, cross references and sharing of various practices covering geriatric, palliative and rehabilitative care. As part of its renewed strategy for mental healthcare services, the government is strengthening Public Health Centres (PHCs) and Community Health Centres (CHCs)," said Nadda.

"Extensive training is being provided to ASHAs (Accredited Social Health Activists) and ANMs (Auxiliary Nurse Midwives) at PHCs and CHCs, so that they can become the transformers, translators and change-makers within the community," he added.

The World Health Day, which falls on April 7 had Depression as its theme this year.

Highlighting the most progressive features of the Mental Health Bill, Nadda said: "Decriminalisation of suicide is another significant facet of the Mental Health Bill, which will ensure proper management of severe stress as a precursor for suicide attempts."

Globally, 322 million people were estimated to be suffering from depression in 2015, equivalent to 4.3 per cent of the world's population. Depression is ranked by the World Health Organisation (WHO) as the single-largest contributor to global morbidity and the estimated number of people living with depression increased by 18.4 per cent between 2005 and 2015.

The situation in India is more grave with over 20 million Indians suffering from depression.

Henk Bekedam, the WHO Representative to India, said that depression being the single-largest cause of morbidity globally, it is a public health priority and health concern for us.

"While the government legislates, creates an enabling environment and makes professional services available, the onus is on each one of us to reach out, be it a friend, a colleague, a neighbour or family and make a difference, even save a life. It is equally important for patients to seek help when depressed," said Bekedam.

According to WHO, globally nearly 800,000 people die every year, accounting for close to 1.5 per cent of all deaths, bringing it to the top 20 leading causes of death.

It is estimated that in 2012, India had over 258,000 suicides, with the age group of 15-29 years being the most affected.

In this context, Bekedam highlighted some recent developments that bode well for India in the area of mental health, including the mental health policy.

"The National Health Policy 2017 prioritises mental health services as a component of addressing non-communicable disease and decriminalises attempt to suicide and has a rights-based approach," said Bekedam.

At the function, Nadda also launched the Report Book on the Centre for Well Being at NIMHANS.

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Agencies
March 3,2020

Taking multiple courses of antibiotics within a short span of time may do people more harm than good, suggests new research which discovered an association between the number of prescriptions for antibiotics and a higher risk of hospital admissions.

Patients who have had 9 or more antibiotic prescriptions for common infections in the previous three years are 2.26 times more likely to go to hospital with another infection in three or more months, said the researchers.

Patients who had two antibiotic prescriptions were 1.23 times more likely, patients who had three to four prescriptions 1.33 times more likely and patients who had five to eight 1.77 times more likely to go to hospital with another infection.

"We don't know why this is, but overuse of antibiotics might kill the good bacteria in the gut (microbiota) and make us more susceptible to infections, for example," said Professor Tjeerd van Staa from the University of Manchester in Britain.

The study, published in the journal BMC Medicine, is based on the data of two million patients in England and Wales.

The patient records, from 2000 to 2016, covered common infections such as upper respiratory tract, urinary tract, ear and chest infections and excluded long term conditions such as cystic fibrosis and chronic lung disease.

The risks of going to hospital with another infection were related to the number of the antibiotic prescriptions in the previous three years.

A course is defined by the team as being given over a period of one or two weeks.

"GPs (general physicians) care about their patients, and over recent years have worked hard to reduce the prescribing of antibiotics,""Staa said.

"But it is clear GPs do not have the tools to prescribe antibiotics effectively for common infections, especially when patients already have previously used antibiotics.

"They may prescribe numerous courses of antibiotics over several years, which according to our study increases the risk of a more serious infection. That in turn, we show, is linked to hospital admissions," Staa added.

It not clear why hospital admissions are linked to higher prescriptions and research is needed to show what or if any biological factors exist, said the research team.

"Our hope is that, however, a tool we are working for GPs, based on patient history, will be able to calculate the risks associated with taking multiple courses of antibiotics," said Francine Jury from the University of Manchester.

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Agencies
March 11,2020

With the sales of chicken and mutton going down due to the coronavirus scare, it is the humble 'Kathal' (jackfruit) is emerging as an acceptable alternative.

'Kathal' is now selling at ₹120 per kilogram -- an increase of more than 120 per cent over the normal ₹50 per kilogram.

The jackfruit, in fact, is now priced higher than chicken which is selling at ₹80 per kilogram due to poor demand.

"It is better having a 'Kathal' biryani instead of a mutton biryani. It tastes reasonably good. The only problem is that 'Kathal' has been sold out in the vegetable market and is difficult to find," said Purnima Srivastava whose family savours non-vegetarian food on a regular basis.

The corona scare has hit poultry business so hard and the Poultry Farm Association recently organized a Chicken Mela in Gorakhpur to dispel the misconception that birds are carriers of the deadly virus.

"In fact, we gave away plateful of chicken dishes for Rs 30 to encourage people to savour the delicacies. We cooked one thousand kilograms of chicken for the Mela and the entire stock was sold out," said Vineet Singh, head of the Poultry Farm Association.

However, the Mela did not do much to dispel the fears about chicken, mutton or fish consumption amid the virus outbreak.

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Agencies
April 14,2020

There is no evidence that the Bacille Calmette-Guerin (BCG) vaccine, which is primarily used against tuberculosis, protects people against infection with the novel coronavirus, the World Health Organization (WHO) said.

The WHO therefore didn't recommend BCG vaccination for the prevention of COVID-19 in the absence of evidence, according to its daily situation report on Monday, Xinhua news agency reported.

"There is experimental evidence from both animal and human studies that the BCG vaccine has non-specific effects on the immune system. These effects have not been well characterized and their clinical relevance remains unknown," WHO stated.

Two clinical trials addressing the question are underway, and WHO will evaluate the evidence when it is available, it noted.

BCG vaccination prevents severe forms of tuberculosis in children and diversion of local supplies may result in an increase of disease and deaths from the tuberculosis, it warned.

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