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Congenital Heart Disease Often Lead To Mental Illness

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WORLD HEART DAY

More than 1.5 lac infants are born in India annually with congenital heart disease. Around 78,000 infants die of congenital heart disease in India every year.

So What Is Congenital Heart Disease?

Congenital Heart Disease (CHD) is when a child is born with an abnormality in his/her heart. It could be abnormal in the way it’s structured (have parts of the organ missing, have functional problems and/or holes in the chambers. Doctors are often able to diagnose CHD while the child is still in the womb of the mother. CHD is considered to be a life threatening illness and hence can cause emotional turmoil in parents of the child, which in turn affects the psychological development of the unborn child.

Additional alterations immediately after birth for a child can prove to be traumatic, and cause PTSD like symptoms later on in life. For example, a child is often separated from the child’s mother and placed in intensive care immediately after birth, and then they are subjected to invasive medical procedures and tests. An infant with CHD goes through a traumatic event which is often reflected in feeding problems, nightmares and over all behavior of the infant.

According to Dr.Vihan Sanyal, psychotherapist, “Parents of children with CHD can seek the help of a skilled psychotherapist for their children’s psychological health while they are children. This will give the therapist to address the issue early on and help improve the quality of life of the child well into adulthood”

Early stressful experiences of a child can alter the child’s brain development, affect their immune system (the child tends to fall sick more often) and disturb the way a child reacts to stressful events in future life. Studies have proven that children who have been exposed to highly stressful environments early on in childhood often have issues with cognition and in processing of emotions.

Neonatal care, pediatric care, adolescent years and adulthood of a person diagnosed with CHD is often complex and challenging for the person. The psychological impact this creates is profound and can lead to suicide in adulthood if not managed properly.

Dr.Sanyal explains: “Children with CHD have difficulties with motor skills, speech, focus & attention, executive functioning, impulse control, management of emotions and behavior. The change in the structure of the brain and in brain chemistry can tarnish the image a child has of himself. He can quickly form an opinion of himself as being “abnormal”, leading to self esteem issues. It is important for children to be helped by a skilled psychotherapist, who is proficient in dealing with psychological issues of children living with CHD. Timely therapeutic intervention can provide the support a child requires in coping with the emotional challenges of CHD.”

Psychiatric disorders, in particular mood and anxiety disorders are more frequent in Adults with CHD compared to Non-CHD adults.

Life threat to the fetus is an important key factor for emotional disturbance during pregnancy for the parents. It is also an indication of long term psychological disorders faced by the parents of the child with CHD.

Studies have indicated that more than 30% of parents with children who have been diagnosed with CHD show signs of Post Traumatic Stress Disorder (PTSD). 50% of them have shown to have anxiety and depression. More than 80% of these parents have tested positive for psychological stress related disorders.

“MNLP & other modalities of psychotherapy can help the parents of those who have recently been diagnosed with CHD. MNLP can help in building resilience in the parents and equip them to face the challenges which lay ahead without disintegrating emotionally. Hypnotherapy can be used to promote relaxation and to address issues of trauma in the subconscious” Say’s Dr.Sanyal

Contributory Factors While Pregnant Which Can Result In CHD

· Smoking during pregnancy

· Consuming alcohol during pregnancy

· Exposure To Poor Air Quality (pollution)

· Exposure to Toxic Chemicals (Even common household chemicals like toilet cleaners and detergents)

· Exposure to pesticides and insecticides

· Medicines not meant to be consumed during pregnancy

· Obesity in mothers

In addition to the above list, symptoms of anxiety and depression in pregnant women often go undetected and hence, remain untreated. It is also important to mention that a range of symptoms of stress, anxiety and depression, marital harmony and quality of relationship the parents share with each other all have an effect on the fetus’s psychological health.

Dr.Sanyal says: “Many pregnant women of our country are unaware of some of the precautions they need to take during pregnancy. More importantly, they are unaware of the harmful effects the unborn child could face due to their habit and behavior. Many psychological disorders and mental illnesses can be prevented by pregnant women choosing to lead a balanced and a relatively stress free life during their pregnancy.”

Health

Putin calls for strengthening WHO, removing obstacles for partnership in healthcare sector

The Russian leader noted that during the coronavirus pandemic there were no borders for solidarity between doctors, volunteers and people of different countries and many “countries have also been helping each other selflessly and open-heartedly”

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Russian President Vladimir Putin

UNITED NATIONS, September 23: Russian President Vladimir Putin has called for strengthening the capability of the World Health Organization (WHO) and for removing barriers for partpership in the healthcare sector.

“As to healthcare, just like in economy, we now need to remove, as many as possible, obstacles to partner relations,” said in a video address to the 75th session of the United Nations General Assembly on Tuesday. “Our country has been actively contributing to global and regional counter-COVID-19 efforts, providing assistance to most affected states both bilaterally and within multilateral formats.”

According to the Russian leader, Moscow respects the central coordinating role of the World Health Organization. “We believe it essential to qualitatively strengthen the WHO capability. This work has already begun, and Russia is genuinely motivated to engage in it,” he said.

The Russian leader noted that during the coronavirus pandemic there were no borders for solidarity between doctors, volunteers and people of different countries and many “countries have also been helping each other selflessly and open-heartedly.”

“However, there have been cases showing the deficit of humanity and, if you will, kindness n the relations at the official inter-State level,” he said, adding that the prestige of the United Nations “could strengthen and enhance the role of the humanitarian or human component in multilateral and bilateral relations, namely in people-to-people and youth exchanges, cultural ties, social and educational programs, as well as cooperation in sports, science, technology, environment and health protection.”.

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Health

UN must hold China accountable for unleashing Covid-19 plague onto world: Trump

Addressing the UN’s first virtual meeting of world leaders, Trump accused the Chinese government and the World Health Organization (WHO) of making a false declaration that there was no evidence of human to human transmission of Sars-Cov-2.

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Donald Trump

US president Donald Trump on Tuesday renewed his attack on China accusing it of spreading the coronavirus disease (Covid-19) in the world. He urged the United Nations to hold it accountable for “unleashing this plague onto the world.”

Addressing the UN’s first virtual meeting of world leaders, Trump accused the Chinese government and the World Health Organization (WHO) of making a false declaration that there was no evidence of human to human transmission of Sars-Cov-2, the virus that causes the deadly infection. He also said that the WHO is virtually controlled by China.

“As we pursue a bright future, we must hold accountable the nation which unleashed this plague onto the world – China,” Trump said at the 75th UNGA debate.

The US president said that in the earliest days of the outbreak, China locked down travel domestically while it continued to allow flights to leave the country and infect the rest of the world.

“China condemned my travel ban on their country, even as they cancelled domestic flights and locked citizens in their homes,” he added.

Trump again used the term “China virus” that has so far infected 31,365,633 people across the world and claimed over 965,000 lives so far.

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Disaster

Punjab CM Amarinder Singh orders strict enforcement of Covid-19 protocols

Nobody knows how long the crisis will continue or what the disease’s side effects really are, pointed out the Chief Minister, directing the departments concerned to step up their efforts to spread public awareness about the problem.

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Amarinder Singh

Chandigarh, Sep 22 : Even as he expressed satisfaction at increased testing in rural areas with many panchayats passing resolutions in support of the government efforts, Punjab Chief Minister Amarinder Singh on Tuesday ordered strict enforcement of Covid safety protocols and strengthening of public awareness campaigns across the state.

The Chief Minister expressed concern over the continuing violation by the people of the rules and protocols on safety.

The state government had no option but to open up but people have to realise their responsibility, he said during a Covid review meet, held through video conference, stressing the need to bring down the case fatality rate (CFR), which remains higher than the national average in Punjab.

Taking serious note of people continuing to not wear masks and not giving up spitting on the roads despite the critical situation in the state, Amarinder Singh directed DGP Dinkar Gupta to ensure punishment for those found violating the rules.

Nobody knows how long the crisis will continue or what the disease’s side effects really are, pointed out the Chief Minister, directing the departments concerned to step up their efforts to spread public awareness about the problem.

Earlier, the DGP said that 5,300 (40 per cent) of the state’s panchayats had passed formal resolutions backing Covid testing, as a result of which the initial resistance showed by public due to widespread disinformation campaigns had eased off.

Giving details of the number of police personnel impacted by the disease, Gupta said of the 86 cops who had died due to the infection, 18 had been reported in September, with eight currently on ventilators.

A total of 1,233 cops had tested Covid positive so far, he added.

The DGP said the Police Department was appointing a nodal officer to expedite disbursement of Rs 50 lakh compensation, as announced earlier by the Chief Minister, to the families of police personnel who had lost their lives in the fight against Covid.

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