Rise in kidney ailments overload dialysis units

December 16, 2015

Bengalur, Dec 16: The rising number of kidney ailments, due to the increasing cases of non-communicable diseases, has posed a serious challenge to the government. The limited dialysis facilities are witnessing an overload.

kidneyAt least two lakh people undergo dialysis in the State. Speaking to media persons, Dr Keshavamurthy R, director, Institute of Nephro Urology, said that with non-communicable diseases such as diabetes on the rise, those with kidney ailments are seen in good numbers.

The Institute sees a patient overload most of the time. With 25 units in place, 60 to 65 people undergo dialysis every day, while a good number are asked to await their turn. “No matter how many units are started, they are occupied because patients are seen in growing numbers,” he said.

This Institute sees patients from West Bengal and Odisha as well. “The diagnosis is done and we put them on dialysis.

Later, they are sent back to their respective places unless their condition is serious as a very small number can be treated completely or can undergo a transplant. The rest have to be on dialysis for life,” he said.

Institute expansion

The autonomous institute will undergo expansion soon. A proposal has been sent to the government for construction of a four-storey building on a plot behind the present premises. With this, 45 more beds will be added. If approved, the construction will begin in the next six months.

PPP model

If infrastructure is one challenge, inadequate manpower is another. For a dialysis centre to be functional, at least one nephrologist, a technician and nurses trained in dialysis are a must.

However, with not enough specialists on hand, the department of health and family welfare and that of medical education have resorted to training general physicians to carry out the procedure. One doctor from each taluk is undergoing training by turns at the Institute of Nephro Urology to be able to go back and run dialysis units.

Meanwhile, Dr G Vamadev, director, department of health and family welfare, said that they had sought a report from all districts on the number of dialysis units available and the want of manpower.

“There is a proposal to start dialysis units on a public-private partnership model. The government will provide the infrastructure necessary, while the other party will run the centre with manpower and consumables,” he said.

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News Network
July 28,2020

Hounde, Jul 28: Coronavirus and its restrictions are pushing already hungry communities over the edge, killing an estimated 10,000 more young children a month as meager farms are cut off from markets and villages are isolated from food and medical aid, the United Nations warned Monday.

In the call to action shared with The Associated Press ahead of publication, four UN agencies warned that growing malnutrition would have long-term consequences, transforming individual tragedies into a generational catastrophe.

Hunger is already stalking Haboue Solange Boue, an infant from Burkina Faso who lost half her former body weight of 5.5 pounds (2.5 kilograms) in just a month. Coronavirus restrictions closed the markets, and her family sold fewer vegetables. Her mother was too malnourished to nurse.

“My child,” Danssanin Lanizou whispered, choking back tears as she unwrapped a blanket to reveal her baby's protruding ribs.

More than 550,000 additional children each month are being struck by what is called wasting, according to the UN — malnutrition that manifests in spindly limbs and distended bellies. Over a year, that's up 6.7 million from last year's total of 47 million. Wasting and stunting can permanently damage children physically and mentally.

“The food security effects of the COVID crisis are going to reflect many years from now,” said Dr. Francesco Branca, the WHO head of nutrition. “There is going to be a societal effect.”

From Latin America to South Asia to sub-Saharan Africa, more poor families than ever are staring down a future without enough food.

In April, World Food Program head David Beasley warned that the coronavirus economy would cause global famines “of biblical proportions” this year. There are different stages of what is known as food insecurity; famine is officially declared when, along with other measures, 30% of the population suffers from wasting.

The World Food Program estimated in February that one Venezuelan in three was already going hungry, as inflation rendered salaries nearly worthless and forced millions to flee abroad. Then the virus arrived.

“Every day we receive a malnourished child,” said Dr. Francisco Nieto, who works in a hospital in the border state of Tachira.

In May, Nieto recalled, after two months of quarantine, 18-month-old twins arrived with bodies bloated from malnutrition. The children's mother was jobless and living with her own mother. She told the doctor she fed them only a simple drink made with boiled bananas.

“Not even a cracker? Some chicken?” he asked.

“Nothing,” the children's grandmother responded. By the time the doctor saw them, it was too late: One boy died eight days later.

The leaders of four international agencies — the World Health Organization, UNICEF, the World Food Program and the Food and Agriculture Organization — have called for at least dollar 2.4 billion immediately to address global hunger.

But even more than lack of money, restrictions on movement have prevented families from seeking treatment, said Victor Aguayo, the head of UNICEF's nutrition program.

“By having schools closed, by having primary health care services disrupted, by having nutritional programs dysfunctional, we are also creating harm,” Aguayo said. He cited as an example the near-global suspension of Vitamin A supplements, which are a crucial way to bolster developing immune systems.

In Afghanistan, movement restrictions prevent families from bringing their malnourished children to hospitals for food and aid just when they need it most. The Indira Gandhi hospital in the capital, Kabul, has seen only three or four malnourished children, said specialist Nematullah Amiri. Last year, there were 10 times as many.

Because the children don't come in, there's no way to know for certain the scale of the problem, but a recent study by Johns Hopkins University indicated an additional 13,000 Afghans younger than 5 could die.

Afghanistan is now in a red zone of hunger, with severe childhood malnutrition spiking from 690,000 in January to 780,000 — a 13% increase, according to UNICEF.

In Yemen, restrictions on movement have blocked aid distribution, along with the stalling of salaries and price hikes. The Arab world's poorest country is suffering further from a fall in remittances and a drop in funding from humanitarian agencies.

Yemen is now on the brink of famine, according to the Famine Early Warning Systems Network, which uses surveys, satellite data and weather mapping to pinpoint places most in need.

Some of the worst hunger still occurs in sub-Saharan Africa. In Sudan, 9.6 million people live from one meal to the next — a 65% increase from the same time last year.

Lockdowns across Sudanese provinces, as around the world, have dried up work and incomes for millions. With inflation hitting 136%, prices for basic goods have more than tripled.

“It has never been easy but now we are starving, eating grass, weeds, just plants from the earth,” said Ibrahim Youssef, director of the Kalma camp for internally displaced people in war-ravaged south Darfur.

Adam Haroun, an official in the Krinding camp in west Darfur, recorded nine deaths linked with malnutrition, otherwise a rare occurrence, over the past two months — five newborns and four older adults, he said.

Before the pandemic and lockdown, the Abdullah family ate three meals a day, sometimes with bread, or they'd add butter to porridge. Now they are down to just one meal of “millet porridge” — water mixed with grain. Zakaria Yehia Abdullah, a farmer now at Krinding, said the hunger is showing “in my children's faces.”

“I don't have the basics I need to survive,” said the 67-year-old, who who hasn't worked the fields since April. “That means the 10 people counting on me can't survive either.”

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News Network
January 18,2020

Bengaluru, Jan 18: The Karnataka state government has reportedly initiated the process to ban organizations like Popular Front of India (PFI).

State Home Minister Basavaraj Bommai on Friday evening said that instructions have been given to the police and officers concerned to gather information about the activities of such organisations so that necessary inputs can be sent to the Center.

He made it clear that the action would not be limited against PFI and SDFI (Social Democratic Front of India), rather any organisation which is involved in such activities, would meet the same fate.

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News Network
July 25,2020

Bengaluru, Jul 25: Kalmane Kamegowda, the lake man who was recently praised by Prime Minister Narendra Modi during a recent Mann Ki Baat, is in serious condition after he tested positive for COVID-19, former Karnataka Chief Minister HD Kumaraswamy said on Saturday.

"The health condition of Lake Kamegowda is serious. It is our responsibility to save him. I demand that the state government make appropriate arrangements for emergency treatment," Kumaraswamy tweeted.

"The Prime Minister also praised him in Mann Ki Baat. Chief Ministers expressed appreciation. Only praising doesn't help him at this point of time. The government needs to come forward to treat him in a good hospital when he's sick," he said in the following tweet.

Kamegowda of Dasanadoddi village in Malavalli taluk had drawn the attention of the Prime Minister in the 66th 'Mann Ki Baat' for constructing ponds to conserve rainwater during the summer.

Responding to Kumaraswamy's remark, State Medical Education Minister Dr Sudhakar K said that he has already called up the Mandya Medical College and directed the hospital to admit and treat Kamegowda.

"As soon as I noticed the seriousness of Kamagowad's health, I called the director of the Mandya Medical College and informed him that he should be admitted to the hospital and treated. I pray to the Lord that the Kamagowadas who inspire the whole country will heal soon," Sudhakar K tweeted.

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