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 Public Health News Snippets  06 - 11th May, 2024 

Comparison of maternal and child health indicators in state clusters of India: A mixed-methods study

  • The study by Ram et al. has been conducted based on the rationale that although the national averages of IMR and MMR have improved drastically since the 1990s, the pace at which the states are achieving the same has been heterogeneous.

  • The states were clustered into

  1. HMS with lower PCI: Uttar Pradesh, Jharkhand, Bihar, Chhattisgarh, Madhya Pradesh, Rajasthan, Odisha, Uttarakhand, and Assam.

  2. LMS with higher PCI: Gujarat, Karnataka, Andhra Pradesh, Haryana, Punjab, Kerala, Maharashtra, Tamil Nadu, Telangana, and West Bengal.

  • The progress was analyzed in state clusters based on 5 areas of mortality transition models, which includes

  1. Fertility

  2. Causes 

  3. Mortality levels

  4. Socioeconomic development

  5. Health intervention coverage/equity

  • A mixed-method study consisting of qualitative analysis (document reviews and interviews with state and national specialists) and quantitative analysis (trend analysis) was conducted.

  • Between 2000-2018, the findings showed a reduction of maternal and neonatal mortality by two-thirds and a half in Clusters 1 and 2, respectively.

  • The coverage of antenatal care, institutional delivery, and postnatal care rose by three times, and 1.4 times in both clusters respectively,

  • The findings suggest that the HMS would achieve the SDG target of ending preventable deaths of newborns and under-fives if the current rate of decline continues.

Click here to read more.

Content Editor: Dr. Tanya

BMJ Global Health

Source : 

Published on :

May 10, 2024

Maternal Mortality Rate, Infant Mortality Rate, Mother and Child Health, SDG

Surveying COTPA violations: A statewide analysis of Indian schools and tobacco retailers

  • To determine the number of violations and the correlation between the schools with COTPA violations and characteristics such as gender, size, category, and location of schools, a study surveyed four Indian states.

  • These included:

  1. Andhra Pradesh (AP)

  2. Karnataka (KA)

  3. Meghalaya (ML)

  4. Uttar Pradesh (UP)

  • 289,392 schools were asked to record the number of tobacco-selling establishments within a hundred yards of them, on an app distributed to all schools in these states.

  • Out of the 61,748 (21.3%) schools that responded, 16,193 (26.2%) reported the presence of such establishments within a hundred-yard area of them.

  • State-by-state, the percentage of non-compliance with the COTPA rules reported was 22.2%, 17.5%, 42.9%, and 31.4% for AP, KA, ML, and UP, respectively.

  • There was a strong correlation between the states of KA and ML using chi-square tests (p-value <0.001) regarding characteristics such as school location, size, and category.

  • This study indicates that the higher the prevalence of tobacco users in the state, the higher the percentage of schools with tobacco shops (Section 6b violations).

  • As per the findings, all these schools violating the rules should be tracked down, and necessary actions should be taken.

Click here to read more.

Content Editor: Dr. Tanya

PLoS One

Source : 

Published on :

May 10, 2024

Tobacco Addiction, COTPA, Adolescent Health

Variations in the incidence of stroke: Findings from the stroke registries

  • The National Stroke Registry Programme established five population-based stroke registries (PBSRs) to measure stroke incidence, mortality, and its subtypes in urban and rural populations.

  • The registry uniquely employs the STEPS approach and tracks both fatal and non-fatal strokes in hospitals, imaging centers, and the community, including deaths recorded within 28 days of stroke onset.

  • The study's findings reveal: 

  1. The average stroke incidence rate was 138.1 per 100,000 people but varied significantly between regions (from 96.6 to 187.6).

  2. Case fatality rates also varied widely, ranging from 15.3 to 46.6 per 100,000 population. 

  3. Stroke risk was higher in men over 30 (1 in 10 chance vs. 1 in 15 chance for women). 

  4. Rural areas in three specific locations (Cuttack, Cachar, Tirunelveli) had twice the stroke incidence compared to urban areas. 

  5. Ischemic stroke was the most frequent type observed. 

  6. Hypertension, diabetes, and current tobacco use were identified as the most common risk factors. 

  • Recognizing the higher stroke burden in rural areas, this study provides crucial data to guide policy and resource allocation for improved stroke prevention and treatment across India.

Click here to read more.

Content Editor: Dr. Shayari Nag

The Lancet

Source : 

Published on :

May 10, 2024

Stroke, Stroke Burden, Research Findings, Noncommunicable diseases

Ministry's plan to increase accessibility of over-the-counter drugs

  • It might not be necessary to travel to a pharmacy to buy over-the-counter (OTC) medications anymore, as these will probably be available at neighborhood grocery stores in the upcoming months, too, without any prescription.

  • The Health Ministry's move is aimed at ensuring that medications are affordable and easily accessible for underprivileged people who might otherwise be able to obtain them without having to contact a doctor and pay a consultation fee.

  • The committee is developing a list of medications that fall under the OTC drug category so that regular Kirana stores can carry them.

  • Nonetheless, groups that advocate for chemists, druggists, and chemists are against the change as this step can lead to incorrect diagnosis or incorrect dosage.


Content Editor: Dr. Sakshi

Social Trends

Source : 

Published on :

May 10, 2024

New Regulation, Medicines

Breaking the malaria barrier: L9LS antibody offers hope against the disease

  • A new research study published in the New England Journal of Medicine shows promise for a potential malaria prevention breakthrough.

  • A single subcutaneous injection of an antibody called L9LS protected children in Mali by up to 77% during the 6-month malaria season.

  • The antibody was developed by scientists at the National Institutes of Health (NIH) and had previously demonstrated 80% protection in adults during a phase 1 clinical trial.

  • The researchers conducted a double-blind, randomized, placebo-controlled phase 2 trial with 225 children aged 6-10 in Mali, giving them either a 150mg or 300mg dose of L9LS or a placebo injection.

  • All participants received a standard artemether-lumefantrine treatment 7 to 12 days before L9LS or a placebo to eliminate any existing infection.

  • The main focus was to detect P. falciparum in the blood, with or without symptoms, through regular blood smear checks every two weeks for the following 6 months.

  • When compared to traditional preventive measures like seasonal chemical interventions, monoclonal antibodies have advantages, especially in low-income countries, because of their one-time administration and potentially better adherence.


Click here to read more.

Content Editor: Dr. Chinmay

The New England Journal of Medicine

Source : 

Published on :

May 9, 2024

Malaria, Monoclonal antibody, international health news

WHO unveils the new global malaria programme operational guidelines

  • Despite recent stagnation in progress and persisting challenges, including resource constraints and emerging threats like drug resistance, the new strategy outlines four key objectives:

  1. Establishing norms and standards

  2. Fostering innovation

  3. Leveraging strategic information

  4. Providing technical leadership.

  • Guided by principles of equity, country ownership, and resilient health systems, the strategy aims to drive a coordinated, country-led response and ensure equitable access to quality malaria services.

  • This commitment aligns with this year's World Malaria Day theme: "Accelerating the fight against malaria for a more equitable world," underscoring the urgent need for collective action to address the persistent burden of malaria globally.

Click here to read more.

Content Editor: Dr. Manjeet

WHO

Source : 

Published on :

May 9, 2024

Vector borne diseases, Programme updates

WHO warns of global antibiotic overuse in hospitalized COVID-19 patients

  • During COVID-19, WHO observed widespread excessive use of antibiotics, with 75% of patients receiving them, even though only 8% needed them.

  • The highest usage occurs among severe or critical COVID-19 cases, notably in Africa. 

  • However, in mild or moderate cases, usage varies significantly by region.

  • Overall, antibiotic use did not improve clinical outcomes for patients with COVID-19

  • But rather, it might have created harm for people without bacterial infection, compared to those not receiving antibiotics.

  • The AWaRe (Access, Watch, Reserve) classification system reveals concerning trends, with 'Watch' antibiotics, posing higher resistance risks, frequently prescribed globally.

  • WHO plans to issue recommendations on COVID-19 antibiotic use based on evidence synthesis from the WHO Global Clinical Platform to address antimicrobial resistance.

Click here to read more.

Content Editor: Dr. Rashmi

WHO News Section

Source : 

Published on :

May 9, 2024

Infectious Disease, COVID-19, Antimicrobial Resistance

Need to address the impact of climate change on HIV response in India

  • A framework that has been developed for India underscores the significant impact of climate change on HIV response in the nation.

  • This offers insights into research priorities for mitigating climate change's effect on HIV response in India, stressing the importance of integrating climate considerations into HIV strategies.

  • Despite limited primary studies in India, the report highlights the indirect consequences of climate change on HIV prevention and management.

  • Research priorities include understanding-

  1. Linkages between food insecurity and HIV response,

  2. Exploring climate migration's impact on HIV outcomes,

  3. Examining governance of health systems during climate disasters.

  • The document also discusses the direct and indirect impacts of climate change on HIV response, such as;

  1. Disruptions in healthcare services

  2. Migration,

  3. Food insecurity, and

  4. Mental health challenges.

  • The ICMR-National Institute of Cholera and Enteric Diseases is crucial in mapping evidence and identifying research priorities to address the intersection of climate change and HIV response in India.

Click here to read more.

Content Editor: Dr. Sumana

United Nations Development Programme

Source : 

Published on :

May 9, 2024

HIV, Climate Change, Communicable disease

Outbreak of West Nile virus in Kerala

  • West Nile virus outbreaks have been reported in recent years in Kerala, Assam, West Bengal, and Tamil Nadu in India.

  • The West Nile virus causes a self-limiting illness presenting as fever, headache, and nausea.

  • <1% of the disease presents as acute encephalitis syndrome (AES) or acute flaccid paralysis (AFP).

  • The bite of the Culex mosquito spreads the virus, and the disease usually affects adults.

  • Since May 2024, 6 confirmed cases, 1 death, and 1 suspected case of West Nile virus have been reported at the IDSP by the State Surveillance Unit, Directorate of Health Services, Kerala.

  • A total of 7 cases have been reported this year from the districts of Kozhikode, Malappuram, and Thrissur.

  • The District Vector Control Units have stepped up the vector control measures, mosquito sample testing, and awareness activities.

Click here to read more.

Content Editor: Dr. Urmimala

Directorate of Health Services, Kerala

Source : 

Published on :

May 9, 2024

Communicable Disease, West Nile Virus, Outbreak

How are inflammatory markers associated with the incidence of stroke?

  • The study focused on the association between a network of circulating inflammatory molecules centered on the cytokine interleukin-18 (IL-18) and cerebral small vessel disease, which is linked to stroke risk.

  • The researchers used baseline measurements of serum levels of various inflammatory markers from the Framingham Offspring Cohort to create an inflammatory composite score (ICS5).

  • They then analyzed the association of ICS5 with incident stroke, brain imaging features, and cognitive testing performance.

  • The study found a significant association between ICS5 and increased risk for incident all-cause stroke and ischemic stroke in the cohort.

  • There was also an association between ICS5 and the Framingham Stroke Risk Profile score.

  • Additionally, ICS5 showed an inverse association with global cognitive score but no association with magnetic resonance imaging metrics of cerebral small vessel disease.

  • The study concludes that circulating inflammatory biomarkers centered on IL-18 are associated with an increased risk of stroke and cognitive impairment among the Framingham Offspring Cohort.

Click here to read more.

Content Editor: Dr. Sakshi

Stroke journal

Source : 

Published on :

May 8, 2024

Framingham Heart Study, Stroke, Research findings

Use of oxytocin in the dairy industry: Implications and way ahead

  • The Delhi High Court passed judgment on the widespread usage of oxytocin hormone in dairy colonies, that are packaged in white plastic bottles with a red or silver lid.

  • The Court released a statement addressing the following points:

  1. In addition to being concerning, the use of oxytocin hormone to boost dairy and cattle productivity is also considered cruelty under the Prevention of Cruelty to Animals Act, of 1960, and The Drugs and Cosmetics Act, of 1940.

  2. As a result, relevant authorities are directed to investigate and prosecute any such cases.

  3. Any unreported manufacturing or delivery of oxytocin in any form without authorization should be investigated by the police and intelligence division.

  4. The court acknowledged the noncompliance with a previous ruling it had issued, which ordered the relocation of the specified dairies outside of Delhi's municipal zone.

  5. Nine large dairies ought to be moved to regions with adequate drainage, sewage, and biogas facilities, as well as lots of open space for cattle grazing and movement.

  6. If humans, especially children, were to ingest the milk from the dairies near the Sanitary Landfill Sites (also known as "SLFS"), there could be grave repercussions. The cattle likely raised there would be fed hazardous waste.

  • According to several studies, dairy product’s steroid hormone content may be a significant risk factor for several human malignancies.

  • Even though oxytocin does not enter the bloodstream in its active state, it has been observed that milk containing this hormone has negative impacts on human health, necessitating tighter laws and controls


Click here to read more.

Content Editor: Dr. Shubham

Social Trends

Source : 

Published on :

May 8, 2024

Animal Handling, Animal Health, Dairy farming

Update on the highly pathogenic avian influenza cases in the United States of America

  • The Centers for Disease Control and Prevention (CDC) along with the United States Department of Agriculture’s Animal and Plant Health Inspection Service (USDA APHIS) monitors local, state, and national level outbreaks of Highly Pathogenic Avian Influenza (HPAI).

  • These are the updates as of May 2, 2024 -

  1. 9 states reported outbreaks of HPAI in cattle, with 36 herds affected starting on March 25, 2024. This was the first time that bird flu viruses were found in cattle.

  2. One human with exposure to dairy cows, presumably infected with the virus, was infected with HPAI in Texas. This was the first case of mammal-to-mammal transmission.

  • Though the risk of spreading these infections from mammals to mammals is rare, the CDC has released guidelines to prevent infections among people routinely being exposed to poultry or cattle.

  • These include avoiding dead birds or animals and eating cooked uncontaminated meat.

Click here to read more.

Content Editor: Dr. Manu

Centers for Disease Control and Prevention

Source : 

Published on :

May 8, 2024

Avian Influenza, Communicable Diseases, Zoonotic Diseases, Disease Surveillance

What are the factors responsible for the survival of oral cancer patients?

  • A retrospective study based on the data from patients who received treatment from Tata Memorial Hospital in 2016 was followed up till 2021.

  • Researchers studied the overall five-year survival of oral cancer patients.

  • A total of 1895 cases were recruited, of which >80% were men.

  • The most common cancers were of the buccal mucosa and tongue, while lip and oral cavity cancer cases were the least common.

  • Patients aged <40 years had a 69% five-year survival rate compared to those >60 years, who had a 60% survival rate.

  • Those who were diagnosed with poorly differentiated carcinoma belonged to stage IV of the TNM stage, received only chemotherapy, and received partial treatment had higher hazards of dying. 

  • The hazard of death was lower among literates.

  • The study findings emphasized the need for awareness for developing treatment-seeking behavior and completing treatment courses.

  • The study indirectly depicts the poor health-seeking behavior of women, noted by the higher proportion of men recruited in the study.

  • However, the study cannot be generalized to the community as it was based only on hospital data and was subject to Bercksonian bias

Click here to read more.

Content Editor: Dr. Urmimala

eCancer journal

Source : 

Published on :

May 8, 2024

Cancer, Survival, Non communicable studies, Research findings

Delhi's air quality soars: April 2024 marks record improvement

  • In April 2024, Delhi achieved its highest number of 'Good to Moderate' air quality days in the past six years, except for 2020.

  • April 2024 also marked the second-lowest average Air Quality Index (AQI) since 2018.

  • The daily average AQI for April 2024 was 182, demonstrating a significant improvement over the previous year.

  • Only 7 days in April 2024 had an AQI exceeding 200, showcasing effective control over 'Poor to Severe' air quality days.

  • This improvement is attributed to favorable weather conditions and collaborative efforts by the NCR Commission for Air Quality Management and stakeholders.

  • Additionally, April 2024 witnessed a notable reduction in daily average PM2.5 and PM10 concentrations compared to previous years.

  • The CAQM continues to work closely with stakeholders to combat air pollution and enhance the overall air quality in the NCR.

Click here to read more.

Content Editor: Dr. Sumana

Press Information Bureau

Source : 

Published on :

May 8, 2024

Air quality index, Air pollution, Environment

Emphasizing the role of sanitation in health: Insights from Swachhata Pakhwada

  • Swachhata Pakhwada is a 15-day programme that has been conducted since 2016 to foster awareness and action toward a healthier and cleaner India.

  • Prof. Shridhar Dwivedi, Senior Consultant Cardiologist & Head of Academics at the National Heart Institute, spoke about the link between health and sanitation at the National Institute of Science Communication and Policy Research (NIScPR) of the Council for Scientific and Industrial Research (CSIR), New Delhi during the program.

  • He focused on a holistic approach to health with proper sanitation and a balanced lifestyle, giving equal importance to not only physical health but also mental and spiritual well-being.

  • He also urged everyone to continue the healthy habits adopted during the COVID-19 pandemic.

  • The director of the institute also reiterated the institute's commitment to making cleanliness a mission, aiming to rectify and enhance India's image as a clean nation

Click here to read more.

Content Editor: Dr. Anamika

Press Information Bureau

Source : 

Published on :

May 7, 2024

Health, Cleanliness, Sanitation, Hygiene

India set to host the prestigious Antarctic Treaty meetings in 2024

  • India's Ministry of Earth Sciences will host a key environmental summit, the 46th Antarctic Treaty Consultative Meeting (ATCM 46), and the 26th Meeting of the Committee for Environmental Protection (CEP 26) in Kochi, Kerala, from May 20-30, 2024.

  • Nations and stakeholders will address crucial issues in Antarctica, like sustainable management, governance, climate change, tourism regulations, and biodiversity conservation

  • India's role as host reflects its growing commitment to safeguarding Antarctica for future generations.

  • India maintains two permanent research stations on the continent, Maitri (1989) and Bharati (2012), to conduct annual scientific expeditions.

  • Over 350 delegates from more than 60 nations are anticipated to attend the meeting,  with Ambassador Pankaj Saran being nominated to chair the proceedings.

  • The upcoming Antarctic Treaty meetings in India are critical for international efforts to protect Antarctica's environment and foster scientific research.

Click here to read more.

Content Editor: Dr Shayari Nag

Press Information Bureau

Source : 

Published on :

May 7, 2024

Environment, Climate Change, Environment Research.

Does undernourishment amplify tuberculosis risk?

  • A recent study in Clinical Infectious Diseases revealed that malnourished individuals in households with tuberculosis (TB) exposure are three times more likely to develop TB, despite not necessarily having a higher risk of initial Mycobacterium tuberculosis infection.

  • It was conducted across multiple centers in India and involved 857 household contacts of TB patients diagnosed within two months.

  • Of these, 27.9% were underweight, with a median age of 29 years, and 59% were females, monitored for 24 months.

  • During follow-up, 18 new TB cases emerged, with 10 among underweight contacts and four developing early TB with severe malnutrition (BMI <16), resulting in a hazard ratio of 3.16 for TB disease.

  • The authors stress recognizing malnutrition's role in TB progression to refine transmission models and interventions, urging timely provision of adequate household rations alongside preventive therapy by TB programs.

Content Editor: Dr. Rashmi

Center for Infectious Disease Research and Policy

Source : 

Published on :

May 7, 2024

Tuberculosis, Infectious disease, Undernutrition

WHO launches landmark Patient Safety Rights charter

  • The World Health Organization (WHO) launched the Patient Safety Rights Charter at the Global Ministerial Summit on Patient Safety, emphasizing the significance of patient safety within healthcare systems worldwide.

  • This Charter, the first of its kind, outlines patients' rights in the context of safety and aims to guide stakeholders in shaping legislation, policies, and guidelines.

  • Patient safety encompasses processes, procedures, and cultures that minimize risks of harm to patients, regardless of their demographics or status.

  • The Charter delineates 10 crucial patient safety rights, including timely and appropriate care, safe healthcare practices, qualified staff, and patient and family engagement.

  • The Charter aligns with global priorities identified in the Global Patient Safety Action Plan and the World Health Assembly resolution on patient safety.

  • It aims to empower healthcare workers, leaders, governments, and patients alike to foster patient-centered healthcare systems and advocate for high-quality, safe healthcare.

Click here to read more.

Content Editor: Dr. Manjeet

WHO News Section

Source : 

Published on :

May 7, 2024

Patient Rights, Safety, International Health

Racial and gender disparities in carbapenem-resistant Enterobacterales infections

  • The study conducted by Ruffin et al., from April 2016 to November 2019, involved 362 patients hospitalized in U.S. hospitals with bloodstream infections (BSI) caused by carbapenem-resistant Enterobacterales (CRE).

  • These 362 encompassed both Black and White racial groups.

  • The findings indicated that Black females were more likely to be admitted from long-term care facilities and had higher rates of heart infections.

  • In contrast, Black males were generally younger and more prone to cerebrovascular disease.

  • Among the Whites, malignancy was the reason for the hospital admission of 39% of White males and 39% of White females.

  • The primary source of infection for both Black females (32%) and White males (27%) was often unidentified.

  • An independent predictor of 30-day mortality was the interaction between sex and race (p=0.016).

  • Notably, Black females exhibited a higher 30-day mortality rate compared to Black males (adjusted odds ratio (aOR) - 2.59, 95% CI 1.02 - 6.56) and White females (aOR 2.15, 95% CI 1.01 - 4.58).

Content Editor: Dr. Gurumurthy

American Association for the Advancement of Science

Source : 

Published on :

May 7, 2024

Antibiotic resistance, Racial difference

ICMR and AFMS Collaborate for Biomedical Research and Training

  • On April 23, 2024, a Memorandum of Understanding (MoU) was inked between the Armed Forces Medical Services (AFMS) and the Indian Council of Medical Research (ICMR).

  • The objective of this MoU is to foster collaborative research and training, focusing on addressing complex scientific and health-related issues pertinent to the nation and the Indian Armed Forces.

  • This collaboration aims to address multidisciplinary scientific, technological, and educational problems of relevance to the country and the Armed Forces.

  • The collaboration will focus on research on the following points:

  1. High Altitude,

  2. Battle-related trauma/Post-traumatic stress disorder,

  3. Aerospace medicine,

  4. Infectious diseases

  • Under this joint activity, opportunities for AFMS officers to register for PhDs under the ICMR-AcSIR PhD programme are also going to be available.

  • This collaboration aims to leverage both organizations' strengths in biomedical research and academics.

Click here to read more

Content Editor: Dr. Sathya Prashaath

Press Information Bureau

Source : 

Published on :

May 6, 2024

Research and training

Resilient Infrastructure: The way ahead in disaster management

  • The 6th National Conference on Disaster Resilient Infrastructure was held in New Delhi in April 2024.

  • This coalition began in 2019 and involves 39 countries and 7 organizations with the singular aim of building resilient infrastructure.

  • This year’s conference theme was “Investing today for a more resilient tomorrow."

  • The honorable Prime Minister of India also graced the occasion via a video message and emphasized various points, including a funding project that will protect the small island developing states against such disasters.

  • Emphasis was placed on the need for countries to strengthen their resilience individually so that disasters can be addressed collectively.

Click here to read more

Content Editor: Dr. Swathi

Press Information Bureau

Source : 

Published on :

May 6, 2024

Disaster management Resilient Infrastructure, Global health

Innovative techniques in detection of arsenic in Water

  • Researchers at IIT-Madras developed a point-of-need diagnostic tool for testing underground water samples in rural areas.

  • As explained, the tool can be used for up to 200 meters underwater in lakes and other water bodies as well.

  • The fundamental element of the tool is a micro bottle optical resonator, a device as small as a grain of sand, fabricated using optical fiber, and whose surface is coated with a chemical sensitive to arsenic.

  • The tool consists of an optical tip (probe), as small as a skinny ballpoint pen, with the tip attached to a spool of fiber that can extend around 200m when drawn out.

  • This battery-operated device detects the reflected light, measuring the levels of arsenic in water.

  • The pen will be immersible in water.

  • Prof Ravinder K Jain, University of Mexico, explained how the notch in the laser spectrum will shift when the contaminant (arsenic) binds to the surface of the micro bottle resonator, and this shift will indicate the levels of arsenic in the water.

  • This tool can sense even very low levels (below parts per billion levels) of arsenic within a few seconds after the probe is dipped to determine the safety of drinking water..

  • In 2017, around 240 million people across  the country were found to have arsenic levels higher than normal, even today, levels are measured using electro-chemical sensors that are not very efficient at detecting further lower levels.

Content Editor: Dr. Shubham

IIT-Madras Newsletter

Source : 

Published on :

May 6, 2024

Environmental Health, Arsenic toxicity

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