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Sep 18
1000 Cholera patients in this part of Orissa
A three-member Central team is in Orissa to assess the situation in Rayagada district where a cholera outbreak has already claimed 75 lives and affected over a thousand people.

The state government has rushed 30 doctors and 50 paramedics along with mobile health units to contain the epidemic, but once again it's about too little too late.

According to government's own statistics, nearly 300 villages have been hit by the outbreak, and though it says nearly 1500 people have been affected, it puts the number of deaths at just 40.

According to the government's own admission, half of the 122 posts of doctors lie vacant.

People were forced to drink contaminated water because the tube wells in the villages were not functioning. For instance in Lakapai village, a tube well was lying defunct for months and got repaired only after a person died of Cholera.

"What do we do when we have over a hundred families and one of the two tube wells does not work?" questioned a villager from Kalyansinghpur.

The district administration claims it's doing all it can.

"Things are more or less getting under control but with Cholera you cannot stay calm, nor complacent because we are expecting a spike by the end of the month and we have to stay prepared for that," said Nitin B Jawale, Collector, Rayagada.

Three years ago, 150 people had died of cholera in the same districts, but as NDTV found out, the administration neglected to provide safe drinking water and healthcare. So once again, scores of lives have been lost.

"On several occasions there have been outbreaks in these areas. We have to deal with it in a holistic manner. Health care services have to be expanded. There's no doubt about it. Road communication should be the first priority," said Prasanna Acharya, Health Minister, Orissa.

That's exactly what the government had promised to address after the Cholera outbreak in Kashipur.

Now over 30 doctors and 50 paramedics have been sent to the area and temporary health centres opened. The defunct tube wells have been repaired on warfooting, but there are fears, once the epidemic subsides, the government's focus on the area will be off.

Sep 18
68 new cases of dengue across Delhi
The Capital remained firmly in the grip of dengue, with 68 more patients testing positive for the vector-borne disease on Friday. With this, the total number of cases has touched 2,153.

Delhi has reported five dengue deaths this season. During the same period last year, the number of cases of the vector-borne disease in the city was only 18, while it was 294 and 52 in the corresponding periods of 2008 and 2007.

Civic bodies are attributing the rapid increase in dengue cases this season to the prolonged monsoon and stagnation of water at Games construction sites.

The dengue outbreak has also caused concern among several countries, which are supposed to send teams for participating in the Games. The government has reassured them that all possible steps are being taken to tackle the menace, and the Capital is safe for holding the event.

Sep 17
Gene Switches May Turn Obesity On
Chemical changes to our DNA may make us obese, a genetic study shows.

When looking for genetic causes of disease, most researchers try to find out how the genetic code of people with the disease differs from the genetic code of healthy people.

Johns Hopkins researcher Andrew Feinberg, MD, MPH, and colleagues took a different approach. They know that sometime in life, methyl chemical groups attach to some of a person's DNA. These chemical attachments can act as dimmer switches that affect how the gene works.

Some of these "epigenetic" changes are genetically determined. Others appear to happen very early in life and are pretty much permanent. Still others happen through the life span, and may or may not be permanent. Identical twins have identical DNA when they are conceived -- but as they age, the chemical attachments to their DNA grow more and more different.

Can these changes make a person more or less vulnerable to disease?

To find out, Feinberg and colleagues looked at 4.5 million DNA sites in 74 elderly Icelandic people participating in a gene study. Participants gave blood samples twice, with 11 years between measurements.

Some of the people in the study were obese. Others were not. Feinberg and colleagues found 13 changes that were much more common in the obese people. Four of these changes remained the same in the two tests 11 years apart.

The changes were in genes scattered across the human genome.

"Some of the genes we found were ... previously suspected, but not confirmed, for a link to body mass," Feinberg says in a news release. "Others were a surprise -- such as one known to be associated with foraging behavior in hungry worms."

The researchers suggest that if their findings are confirmed -- and if the changes begin in childhood and remain stable -- tests might be able to identify children at highest risk of growing up obese.

And it's not all about obesity. The same techniques, Feinberg and colleagues suggest, can be used to look for epigenetic changes linked to diseases such as autism, diabetes, asthma, and bipolar disorder -- or even life span.

Sep 17
Delhi high court slams Centre for introducing irrational vaccines
The Delhi high court slammed the Centre on Wednesday for introducing "irrational" vaccines without conducting research. It directed the Centre to consider every aspect before launching any vaccine into the national immunisation programme.

"The government should look into the side-effects of the vaccine and the costs involved in introducing it," a division bench of chief justice Dipak Misra and justice Manmohan said. The bench has asked the government to formulate a policy and has slated the matter for hearing on December 8.

The government has already constituted a high-level committee headed by scientist Dr NK Ganguly to study the new vaccination policy, additional solicitor general AS Chandhiok told the bench.

The court was hearing a petition filed by retired health secretary KB Saxena, who alleged the government "in the absence of a rational vaccine policy, was introducing newer vaccines having little or no utility into the national immunisation programme, at the behest of vested interests" such as WHO without proper research.

Saxena's plea sought a stay on the introduction of Hepatitis B, Pneumococcal, Hib and Pentavalent vaccines in the universal immunisation programme, till the time an independent body, devoid of conflict of interest, carries out requisite studies.

"At a time when the government has failed to ensure every child receives these vaccines, new vaccines of questionable utility and efficacy are being introduced in an arbitrary and irrational manner, and at huge cost," advocate Prashant Bhushan argued.

The petitioners have, therefore, sought judicial intervention for the formulation of a "rule-based rational vaccine policy".

Sep 16
3 US Citizens reportedly infected by NDM-1 Superbug
After a Belgian was reported as the first victim of an antibiotic-resistant superbug originating in South Asia, three more US citizens have been infected by the virus the New Delhi metallo-lactamase-1 (NDM-1).

It is reported that three Americans from California, Massachusetts and Illinois got infected after receiving medical care in India. American doctors have slammed India that the drug-resistant superbug could easily spread and it is very hard-to-treat infections with people travelling to India.

Doctors said that all three patients had developed urinary tract infections (UTI) that made their cases harder to treat. According to experts, the superbug NDM-1 can be worst for cancer patients and those who have less immunity.

While the Californian woman had gone through hospital care after being involved in a car accident in India, the Illinois man had a UTI problem and the woman from Massachusetts had surgery and chemotherapy for cancer in India before travelling to the US.

However, the superbug is creating a nightmare for India's expanding health tourism industry. More than 150,000 Americans have travelled last year for the cheap medical care in India. Besides, the superbug cases have now been reported in Australia, the UK, Canada, Japan, the Netherlands, and Sweden along with the US.

Sep 16
Cholera cases rise in Orissa's tribal heartland
Cholera and other water-borne diseases that have claimed 39 lives since August have infected 355 more people in Orissa's Rayagada district, an official said Wednesday.

According to the latest data the state health control room received Wednesday night from the district, the number of people and villages affected by the diseases have risen from 784 to 1,139 and from 156 to 240 respectively.

However, there has been no report of fresh deaths from the district. 'The death toll remains at 39,' an official of the control room told IANS.

Cholera and diarrhoea outbreaks are not new in Rayagada district, which has been visited by the water-borne diseases almost every monsoon as rainwater slush from hilltops contaminates water sources.

The district, some 390 km from state capital Bhubaneswar, is among the most underdeveloped parts of the country and is often in the news for starvation deaths.

Sep 15
Dengue Cases rise to 1,933 in Delhi
While Delhi is gearing up for the forthcoming Commonwealth Games 2010, dengue cases are on the rise in the city. The number of dengue cases in Delhi has gone up to 1,933 now.

Delhi reported 76 new Dengue cases on Tuesday. South Delhi is worst-affected, as it recorded 232 cases. Around 700 Dengue cases have come up in the last 10 days.

Several countries have expressed concerns over the rising Dengue cases in Delhi. Many athletes and officials are reportedly reluctant to participate in CWG 2010 because of Dengue menace.

Sep 15
Sugar-not a real cause for diabetes!
Till date, sugar has had a bad reputation and is linked seriously to the cause of heart disease, obesity, cavities, hyperactivity in children, and diabetes.

The fact is that sugar per se is a source of 'empty' calories - that is, it provides no nutritional value aside from energy - but it certainly isn't the dietary villain it has been portrayed as.

This white crystalline substance is essential part of our biological system. "There's one organ that runs almost entirely on sugar; the brain. The brain needs the glucose to function properly and you need a pre-activated brain before you face the first challenge at your workplace. Sugar keeps your brain active. It is the fuel for the body to provide energy throughout the day." says Dr. Kajal Pandya, Senior Dietician, Sita Ram Bhartiya Institute of Science & Research Centre, New Delhi.

The hormone called 'insulin' is needed for sugar to be used as fuel for the body. And it is produced by the pancreas and it helps sugar move from the bloodstream into the cells which require energy. Diabetes, a metabolic disorder is not caused by consuming carbohydrates, including sugar. It is caused by the body not being able to produce enough insulin or it is unable to properly use the insulin that is produced. Both Type 1 and Type 2 diabetes disrupt the body's ability to convert blood glucose (commonly referred to as blood sugar) into energy.

The result is that too much sugar stays in the bloodstream and not enough sugar gets into the cells of the body where it can be used as fuel. This ensures that eating sugar is not the cause for diabetes.

So, not only sugar but other carbohydrates are also converted into glucose. The matter of fact is to manage one's diet along with some physical activity, is very important once a person develops diabetes.

Myths and Facts

Myth1: Eating sugar in large quantity causes diabetes.

Fact: Type 1 diabetes is caused due to destruction of more than 90% of the insulin-producing cells, present in pancreas, which is not related to sugar consumption at all. Type 2 diabetes results. In type 2 diabetes, the pancreas continues to produce insulin, sometimes even at higher than normal levels. However, the body develops resistance to the effects of insulin, so there is not enough insulin to meet the body's needs.

Myth 2: Diabetics can never eat sweets.

Fact: Diabetics can eat a certain amount of sugary food as part of a balanced diet, but they need to control the total amount of carbohydrates they eat. Sweets provide only calories, no nutrition so sweet should be limited - but not eliminated.

Myth 3: Low-carbohydrate diets are good for diabetics.

Fact: Carbohydrates are preferred by body as the source of energy. Low-carbohydrate diets are overloaded with proteins and fats. Following a high-fat, high-protein diet over the long term may increase the risks of heart and kidney disease. People with diabetes should adopt a meal plan that helps them in balancing carbohydrate consumption with medication and exercise to control diabetes.

Sep 14
Gene that causes short-sightedness 'discovered'
Scientists have discovered a gene that causes myopia or short-sightedness, a breakthrough which they claim could pave the way for treatment for the most common eye disorder in the world.

Myopia happens when the focal point of an image falls just short of the retina at the rear of the eye, causing blurred-distance vision.

Now, an international team, led by the King's College London, has identified the gene, known as RASGRF1, which plays a key role in the development of the eye and the passing of visual signals to the brain for processing.

And, according to the scientists, within just ten years, a drug that prevents short-sightedness or stops it in its tracks could be in widespread use, making the wearing of glasses negligible, the British media reported.

To find the gene, the scientists compared the DNA of more than 4,000 British twins. They then confirmed their results by studying the genetics of another 13,000 British, Dutch and Australian individuals.

Some 45 per cent of Britons have the rogue gene and those who have two copies of it are almost twice as likely to be short-sighted as those who are free of it.

"We have known for many years that the most important risk factor for being short-sighted is having parents who are short-sighted and for the first time we are identifying genes that may be involved in passing on this susceptibility," said Dr Pirro Hysi, who led the team.

In fact, the scientists found several distinct spellings of DNA code near the RASGRF1 gene that had a strong association with focusing errors.

Team member Prof Terri Young of Duke University in North Carolina, said: "The RASGRF1 provides a novel molecular mechanism to study so that we can work to prevent the most common cause of visual impairment."

The findings have been published in 'Nature Genetics' journal.

Sep 14
Orissa calls disaster force to tackle cholera
With number of deaths due to diarrhoea and cholera in Orissa's Kalahandi-Bolangir-Koraput (KBK) districts and more specifically Rayagada district on the rise, the state government on Monday pressed the Orissa Disaster Rapid Action Force (ODRAF), specialised in search and rescue operations during disasters, to bring in patients from inaccessible areas.

In a re-run of the 2007 cholera outbreak in which 150 people died in Rayagada alone, 49 people have died in the district due to cholera and diarrhoea till now.

Despite the administration pressing more medical teams to the affected areas in Rayagada, many more were reported sick. About 666 patients from 102 villages have been treated over the past weeks in the district.

The near-epidemic situation in the districts has been caused by contaminated water. In Rayagada, six persons have died since Sunday while three died in Gajapati district.

The announcement doubling cash incentive to bring in patients from interior villages have had little effect on the deathtoll.

The Chief Minister Naveen Patnaik asked state Health and Family Welfare Minister Prasana Acharya and Health Secretary Anu Garg to rush to Rayagada.

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