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TB survivors at higher risk of developing lung damage

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New Delhi, Aug 9 Tuberculosis (TB) survivors, especially those living in India, are at a higher risk of developing lasting damage to lungs, according to a study done on more than 2,000 Indian patients.

Published in the Lancet Global Health, the study has found that more than one-third of patients who are successfully cured of TB with antibiotics developed permanent lung damage, which, in the worst cases, results in large holes in the lungs called cavities and widens the airways called bronchiectasis.

According to the World Health Organisation’s Global TB Report 2018, an estimated 2.8 million people have contracted TB in India which represents one quarter of all TB cases worldwide.

“This study calls urgent attention to the problem of post-TB lung damage worldwide. TB is a curable condition with antibiotics and great steps forward have been made towards eliminating the disease,” said study lead author James Chalmers, Professor at the University of Dundee.

“But this study is a wakeup call because even if we manage to eliminate all TB worldwide tomorrow, we are going to be left with a legacy of chronic lung damage and bronchiectasis which will require better recognition and better treatment,” he said.

For the study, the research team recruited 2,195 patients with established bronchiectasis from 14 Indian states.

TB survivors and patients with a history of severe infections such as childhood pneumonia made up the majority of patients with lung damage in India. The researchers found that these infections left a legacy of daily cough, further chest infections and poor quality of life.

Patients required further hospitalisations for treatment of their lung conditions in nearly 40 per cent of cases. Patients with post-TB lung damage had lost approximately 40 per cent of their lung capacity, leaving many patients with persistent breathlessness.

Compared with patients in Europe and the US, those in India had more severe lung damage, lung function was worse and patients were more likely to be hospitalised for severe infections.

Recommended treatment for these patients such as inhalers, physiotherapy and antibiotic treatment for infections were rarely provided.

Physiotherapy exercises and antibiotics are inexpensive treatments which are proven to improve quality of life and reduce lung infections, but were available to less than 50 per cent of Indian patients.

The Indian government has pledged to eradicate TB by 2025, however this study warns that the TB epidemic could have lasting consequences for the treatment of lung conditions.

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Health

Salman Khurshid praises Aayushman Bharat scheme

Khurshid said the Aayushman Bharat had not been implemented properly and the funds allocated for it was not spent.

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Salman Khurshid

Lucknow, Oct 22 : Senior Congress leader Salman Khurshid here on Tuesday praised the Aayushman Bharat scheme saying it must get everyone’s support.

“This is a great initiative for poor as well as middle class. Everyone should support the scheme. This is a good scheme that must get support from every person,” Khurshid said speaking at the 15th meeting of the Finance Commission.

However, he said the Aayushman Bharat had not been implemented properly and the funds allocated for it was not spent.

The Aayushman Bharat was introduced by Prime Minister Narendra Modi with an aim to provide health benefits to the people.

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Cities

Jharkhand doctor prescribes pregnancy test to men for stomach ache

Following this, the two men complained against the doctor to Arun Kumar Paswan, the civil surgeon of Chatra district.

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Ranchi, Oct 14 : A doctor in Jharkhand prescribed pregnancy test to two young men in Chatra district after they complained of stomach pain.

Besides pregnancy test, Mukesh Kumar, a government hospital doctor, also asked Gopal Ganjhu and Kameshwar Janhu to undergo tests for HIV and haemoglobin.

Following this, the two men complained against the doctor to Arun Kumar Paswan, the civil surgeon of Chatra district.

“A probe has been ordered into the matter,” Paswan told reporters.

Kumar has however denied the allegation.

In July, another doctor in East Singhbhum district had prescribed condoms to a woman who had complained of stomach pain.

Only when she visited a pharmacy, she realised that the prescribed medicine on the prescription was a condom.

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75-year-old woman delivers baby girl in Kota

The baby had to be delivered prematurely via C-section after 6.5 months of pregnancy given the age of the mother, who was medically and physically weak.

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Jaipur, Oct 13 : A 75-year-old woman has delivered a baby girl in Kota via IVF late on Saturday night, doctors confirmed on Sunday.

The underweight child, weighing 600 gm, has been shifted to the newborn intensive care unit (NICU) of another hospital while the woman was in Kinkar Hospital in Kota. A team of pediatricians is monitoring the child.

The woman, who had earlier adopted a kid, wanted to have her own child and hence had consulted the doctors about the possibilities of her becoming a mother. She wanted to try IVF, said Abhilasha Kinkar, a doctor at a private hospital.

The baby had to be delivered prematurely via C-section after 6.5 months of pregnancy given the age of the mother, who was medically and physically weak. Moreover, the woman had only one lung, which was a challenge for the medical team.

The woman, who belongs to a farmer’s family with a rural background, had insisted to have her own baby which left the medicos surprised, said Kinkar.

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