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HEALTH

Health Deptt in quandary over polio drive
Kuldip Bhatia

Ludhiana, December 7
The detection of a polio case in the city a couple of days back has not only dashed the hopes of Punjab to be declared a polio-free state in the near future, but the health administration is also facing stumbling blocks in the way of the proposed mop up polio vaccination drive from December 11 to 13 in Ludhiana and some of the surrounding districts.

The department needs more than 8,000 volunteers and supervisors to man some 2,100 odd polio booths all over the district, including 900 in the city, whereas at its own, it can only muster around 2,000 nursing, para-medical and other field staff. Normally, the shortfall is filled up by volunteers taken from government schools, private health institutions, nursing students and other NGOs.

However, the government schools in the district have terminal examinations scheduled to commence from December 10 and it will not be possible for the government teachers to be spared for polio vaccination if the examinations were not put off by a few days.

Realising the gravity of the situation and the pressing need to launch vaccination drive without any further loss of time, the state Health Department has deployed Dr Y.R. Markan, Director, Punjab Health Systems Corporation, to supervise the entire operation. Dr Markan, who took charge Monday evening here, will also act as the officiating Civil Surgeon in the absence of Dr Rajinder Kaur, who is on leave.

Interacting with mediapersons late Monday evening, Dr Markan stressed that the department would need to motivate more and more NGOs, service clubs, social and religious institutions to provide volunteers for the immunisation of 5.25 lakh children in the age group of 0-5 years against polio. The senior government officials and the district authorities, he said, were also being approached to get the school examinations postponed for a few days so that sufficient number of volunteers were available to be deployed on polio booths.

Dr Markan admitted that as far the elimination of polio in the state was concerned, the situation was back to square one. The last case of polio in Punjab was reported in 2002 and like the one detected last week in Ludhiana, the victim was again a migrant from Chattarpur district in Madhya Pradesh. “With no case having been reported for the past three years, it would have taken us another two years to get Punjab declared a polio-free state. However, we have to start from the scratch once again and continue polio vaccination for another five years at a huge expense.”

He said since both polio cases reported from the state were those of migrant children, matter would be taken up at the appropriate level with the Union Government to strengthen the polio immunisation programme in other states as well lest the efforts of Punjab in this direction should come to naught once again. Dr Markan strongly supported the idea of all migrant families carrying a vaccination chart of their children with them and reporting to their nearest government health centre immediately after their arrival to Punjab.

Meanwhile, the district level task force for mop up polio vaccination drive, which met here on Tuesday under the chairmanship of Deputy Commissioner Anurag Verma, chalked out the detailed programme for the three-day operation.

Giving details, Mr Verma informed that in all, 8,800 persons were being deployed for the pulse polio campaign, which included around 6,600 volunteers from the Education Department and NGOs. In addition to setting up booths in different localities in the city and rural areas, 70 mobile teams would be put in place and another 96 transit posts would be established at bus stands and the railway station in the district to ensure 100 per cent coverage of eligible children.

According to the Deputy Commissioner, on the first day (December 11), pulse polio drops would be administered at the booths while the volunteers would go from door to door on December 12 and 13 to cover the remaining children. He made a fervent appeal to the people to lend their support to the drive and ensure that all eligible children received pulse polio drops.

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Avoid nutritional deficiencies, says expert
Tribune News Service

Ludhiana, December 7
The Ludhiana Management Association (LMA) conducted a talk on Nutrition and Health: Cost-effectiveness of Nutritional Supplements’ here last evening.

Dr Ranjit Kumar Chandra, president and Vice-Chancellor of Universite International des Sciences de la Sante, Switzerland, who was the keynote speaker, spoke about diet, nutritional supplements, exercise, stress reduction, yoga, meditation and spirituality.

Dr Chandra cited various examples of nutritional supplements. He said genetics, diet and nutritional status, physical exercise, environmental and body temperature, stress, environmental pollution, medications, surgery and radiation were some of the factors affecting immune responses. He said multiple deficiencies could occur in children who were fussy eaters. At least 55 per cent children may have deficiencies of one or more vitamins/ trace elements. The clinical effects could be weak immunity, tiredness, less physical activity, cognitive function, school performance and allergies. Moreover, young persons, especially teenagers, too have irregular eating habits, he added.

Regarding the deficiency of vitamins, he said the prevalence of deficiency of vitamins and trace elements is above 70 per cent. Clinical effects of this include tiredness, poor physical activity, impaired cognitive functions and scholastic performance, weak immunity and more infections.

Some of the diseases with compromised immunity that may benefit from multinutrients are — diabetes mellitus, tuberculosis, human immunodeficiency virus infection, asthma and measles. There is firm evidence that the regular use of multi-vitamins reduced hospitalisation due to infections by more than 55 per cent and heart attack by 30 per cent, Dr Chandra pointed out. Health economists estimate that savings in reduced incidence of just these two conditions would amount to $ 1.6 billion.

Dr Chandra concluded that nutrient deficiencies occur often in all age groups and are usually subclinical.

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Punjab leads in hepatitis C cases
K.S. Chawla

Ludhiana, December 7
The liver and gastroenteritis diseases of North American (USA) and North Indian Punjabis in particular are very similar. This is due to near identical habits and lifestyles of the people of the two nations.

This observation was made by Dr Sandeep Singh Sidhu, Associate Professor of Gastroenterology, Dayanad Medical College and Hospital, Ludhiana, who participated in a state of the art liver diseases conference in Sanfrancisco (USA) from November 11 to 15. The conference was attended by about 5000 delegates worldwide with six delegates from India. On his return Dr Sidhu said that hepatitis C was the predominant liver disease in the USA and the west. It causes acute and chronic hepatitis, cirrhosis and liver cancer. It accounts for maximum number of cases needing liver transplant globally.’ Punjab leads the country with the highest number of hepatitis C cases. Liver disease experts are treating an alarming number of early and advanced chronic liver diseases due to hepatitis C,’ he said. This disease is transmitted by the use of unsterilised needles and syringes, reusable needles during routine and mass innoculations and blood transfusion untested for hepatitis C. The treatment is very expensive — Rs 3 to Rs 6 lakh and is long — 6 to 12 months and is associated with multiple side effects. Public awareness is needed to prevent this disease by avoiding injections for common health problems such as fever, headache or weakness where oral drugs can surface. Health personnel should use only sterilised needles and syringes for treatment of their patients, he has advised.

According to Dr Sidhu ground breaking research on treatment of hepatitis C was released at Sanfrancisco liver meeting. Professors-Stefan Zezeum and Christopher Sarazin from Saarland University Hospital, Homburg, Germany unveiled new drugs such as HCV protease inhibitors to treat patients not responding to conventional drugs at this liver meeting.

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Punjab circle postal kabaddi squad
Our Sports Reporter

Ludhiana, December 7
Dara Khan of Ludhiana has been named captain of the Punjab circle team which would take part in the 20th All India Postal Kabaddi Tournament to be held at Vadodra from December 19 to 22.

The other members of the squad are: Pritam Singh, Inderjit Kumar and Harbans Singh of Ludhiana, Kewal Singh, Binder Singh, Avtar Singh, Avtar Singh (jr), Harpal Singh, Rachhpal Singh, Paramjit Singh and Gurdev Singh.

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