School Children need protection from tobacco consumption: CAG & Consumer Voice

40 lakh tobacco consumers in Punjab

 CHANDIGARH: Citizens Awareness Group and Delhi-based NGO, Consumer Voice, underlined the need for strict implementation of the Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution Act, 2003 (COTPA) in the region to protect children from tobacco consumption.

Addressing media here today at Hotel Aroma, Rinki Sharma, Head Projects & CSR for the Voluntary Organisation in Interest of Consumer Education (VOICE) said that the need is to strictly ensure the implementation of the Act especially where the lives of school children and youth to tobacco products is at stake.

An Indian Council of Medical Research (ICMR) report says that tobacco use accounts for about 30 percent of all cancers in men and women in India while tobacco related cancer accounts for 42% of the male deaths and 18.3% of female cancer deaths.

According to National Family Health Survey 2015-16, in the past one decade, the number of men using tobacco products in Punjab has increased from 19.2% to 34%, and Chandigarh itself has 17 percent population consuming tobacco.

Global Adult Tobacco Survey (GATS) India in its 2016-17 reports that out of the total population in Punjab, 7.3% smoke tobacco and 8% use smokeless tobacco. 

Dr S.M. Bose, former senior professor and head of Surgery and Emergency in PGI, who has also authored a book, among others, on ‘Cancer’ said that tobacco is a slow poison and there should be total ban on its consumption.

Not only it causes direct cancer but also effects various other organs causing peptic ulcer, esophagus cancer, prostrate, urinary bladder, and pancreas, he said.

He lamented to increasing trend amongst urban women to adopt smoking which the studies have proved cause breast cancer too.

Dr Bose said 114 people die every hour in India due to tobacco use, and expressed his dismay at the results of a recent survey by PGIMER in 25 government schools of Raipur Rani where it found 25 percent children consuming tobacco.

Surinder Verma, Chairman, Citizen Awareness Group, informed that along with Consumer Voice special initiatives are being taken to sensitize all stakeholders and would be approaching the authorities to effective implementation of COPTA, by not only banning the use of its sale within 100 yards of the school premises as also making licensing of the vendors selling cigarettes and all type of tobacco products.

Day-care Surgery – Quick, Cheap, Fffective

There is a perpetual shortage of beds in hospitals, particularly in government hospitals, where the majority of the patients seek admission. Although new hospitals are being started and more beds are being added in the existing hospitals, there are long waiting lists in every government or charity centre. It is not uncommon to see a patient making multiple trips to a hospital to seek admission. He fails to do so, gets frustrated and ultimately gives up the idea of getting admitted only to land up in the hospital as an emergency case. He may start visiting the hospital again when the condition becomes worse as in cancer.

This is not a problem unique to India. It is being faced by almost all the developing countries. The developed countries have already faced it and come up with the idea of day-care surgery, also known as outpatient surgery or short-stay surgery.

Day-care surgery has been known for a long time. This means that the patients spend only a few hours in the hospital after the operation and are subsequently sent home. But the concept has been implemented on a larger scale over the past 10 years only.

Dr Sujit Pandit, Professor of Anesthesia from Ann Arbor, University of Michigan, delivered an informative lecture at the PGI recently and I would like to share the interesting points in it and the crux of the lively deliberations that it generated.

About a decade back, only 10 per cent of surgical operations were done as day-care procedures, but over the years it has become such a successful venture that almost 50 per cent of 37 million operations performed in the USA every year are now being carried out as day-care procedures. More and more major operations are being included in this programme.

The advantages or day-care surgery are many. Some of these are mentioned below:

(i) Prevention of cross infection to the patient from the hospital’s atmosphere and other patients.

(ii) Sparing the much-needed hospital beds for seriously ill patients who require hospitalisation and close monitoring.

(iii) Sparing the doctors and the nurses the burden of monitoring very sick patients.

(iv) Cutting down the expenses. Health-care has become a very costly affair. In the USA an average hospital bed costs $600 per day and in India it may cost Rs 500 to Rs 5000 a day in a good nursing home. Even the PGI charges about Rs 1000 for a bed only. Other charges are inescapable.

(v) Psychologically, the patient and his relations feel happy to go back home and recover in their known environment.

(vi) The inconvenience to the patients and their relations are minimised.

But all said and done, the implementation of any new system requires planning, infrastructure and proper execution; success is achieved only if periodic evaluation is carried out, followed by the required restructuring and modification.

Here are some of the basic requirements for day-care surgery.

(i) The patient should be thoroughly examined in the outpatient department, not only about his present illness but also to evaluate his suitability for undergoing anesthesia and the operation.

(ii) All the relevant investigations must be carried out as outpatient tests.

(iii) Facilities must exist to receive the patient in the operation theatre complex at least three hours before the operation.

(iv) Pre-operative steps liked the change of clothes, the preparation of the part to be operated upon, the administration of premedication, the attestation of the consent form and other formalities have to be gone through before the operation.

(v) Facilities must exist to keep the patient in the post-operative ward till he comes out completely of anaesthesia and is able to travel to his residence.

(vi) The hospital facilities should be available round the clock so that the operated patient can be cared for promptly if he develops any problem.

(vii) Communication facilities are most necessary.

(viii) Arrangement should be made for a doctor or a nurse to visit the patient at home at night for evaluation and advice — particularly for pain relief, the administration of antibiotics, etc.

(ix) It is desirable that the patient should stay within a radius of 20 to 25 km from the hospital.

(x) The patient should be given complete instructions at the time of discharge.

I am of the opinion that the most important factor is the establishment of mutual trust between the patient and the operating team.

The PGI has been undertaking day-care surgery in a small way and it is likely to get a big boost with the opening of the new OPD complex where day-care surgery has been planned with six operation theatres and various facilities. But we shall have to move cautiously and progress slowly but steadily to make this a successful venture. A multidisciplinary approach and proper organisation are the key to success in this field.

The Big Worry Over Diagnosis

Health care lately has become a very attractive business venture  and laboratories for various investigations are mushrooming rapidly. However , their growth is haphazard and their utilisation without any definite direction or control.

Breast Cancer – How I Treat it

Breast cancer is one of the commonest cancers affecting females. It is estimated that this disease will afflict one in eight females in America during their lifetime.

For More information, Read my Ebook  http://“BREAST CANCER-HOW I TREAT IT”

 

BREAST CONSERVATION SURGERY FOR CANCER

THE incidence of breast cancer is increasing rapidly in India and it has overtaken cancer of the cervix, statistics reveal. Breast cancer is one of the most common cancers affecting females. Recent Indian Council of Medical Research (ICMR) data shows that the incidence of breast cancer is high among Indian females in the metropolitan cities of Mumbai, Chennai, and Delhi. Although the data available in India is not very reliable, it is estimated that one in 22 Indian females is likely to develop breast cancer during her lifetime in contrast to one in eight in America.

CANCER :The Facts You Should Know

THE incidence of breast cancer is increasing rapidly in India and it has overtaken cancer of the cervix, statistics reveal. Breast cancer is one of the most common cancers affecting females. Recent Indian Council of Medical Research (ICMR) data shows that the incidence of breast cancer is high among Indian females in the metropolitan cities of Mumbai, Chennai, and Delhi. Although the data available in India is not very reliable, it is estimated that one in 22 Indian females is likely to develop breast cancer during her lifetime in contrast to one in eight in America.

Dr. S.M. Bose with ASI G.C. Members

Breast cancer is one of the commonest cancers affecting females. It is estimated that this disease will afflict one in eight females in America during their lifetime.

Hazards of C.T.Scan

Computed Tomography (CT) scan, an X-ray based investigation, providing a 3-D view of a particular organ or tissue, came as a boon for diagnosis and staging of the disease, especially in patients of cancer and trauma. It has become one of the commonest advised radiological investigations for a patient of today.

Healthy Lifestyle Can Help Reduce Health Hazards

Research in all aspects of cancer has been going on all over the medical world for decades, and billions of dollars have been spent to control cancer but a breakthrough is still eluding. The factors producing cancer and the exact mechanism of cancer initiation is yet not known. Therefore, it is not possible to prevent cancer in most cases.

But in a small percentage of cases cancer risks can be avoided to some extent by following a few practices:

Health Hazards Executives Face

Young executives, men and women, are all over. They can be found in offices, call centres, banks, commercial and corporate offices. They can be easily identified by their smart attire, peculiar tone, a laptop hanging from shoulders, a mobile phone glued to ears and perpetually seem to be in a hurry. While they may have a good financial status, yet their health — both physical as well as mental — is definitely a matter of concern.