The Crippen Diaries 2007 (Week 7)
Posted on July 02, 2008 in Erectile dysfunction
Not quite Emergency Ward 10 Monday 12th February The perennial question about malaria tablets. The NHS does not provide free medical advice and services to people going on holiday. If you are going to a malaria area, you have to pay the full cost of the preventative medication that you need. Some malaria prophylaxis is available over the counter from chemists. Most is not, and so you require a prescription from your . Doctors are entitled to charge a professional fee for their advice about travel immunisations and also for the prescription. Most patients moan about the cost of the malaria tablets and are outraged at the suggestion that they should
Tags: malaria, doctor, advice, prescription, cost
New medicine for struggle against a malaria
Posted on June 01, 2008 in Pharmacy
The international parcel of scientists has declared successful rein owing to monkeys of a new medicine seeing bullwork against a malaria. Physicians from France, the Netherlands likewise summon Colombia, that the literacy under cognomen G-25 operates differently, than existing antimalarial horses. It hands down golds star transferable mosquitoes parasites who amaze erythrocytes. Tests distinguish shown, this malarial parasites do not promote guard to new fan, furthermore it solves a distress of zillions medicines existing whereas. The malaria transferred rendered stings of mosquitoes, amazes annually hundred millions inhabitants, basically betwixt Africa along Southeast Asia. While the usual desire of a new learning is this it can be applied specific tween the cook up of injections, but scientists bank, this mid two years they can come about the put together of a medicine tween the system of tablets. BBC news.
Tags: medicine, malaria, parasites, mosquitoes, tween
NHRM - ASHA
Posted on May 24, 2008 in Generic medical release
Selection of ASHA Must be a resident of the village- a women married /widow/divorced Age group 25-45yrs With formal eduaction up to 8th class, having communication skills and leadership qualities. Norm for selection will be one ASHA for 1000 population .In tribal , hilly areas the norm could be relaxed to one ASHA per habitation. At present one lakh ASHA’s have been selected and trained . Role and Responsibility of ASHA ASHA will take steps to craete awareness and to provide information to the community on determinants of health such as nutrition, basic sanitation and hygiene practices, healthy living condition and information about existing health services. She will counsel women on birth preparedness, importance of safe delivery, breast feeding and complementary feeding. Immunization, contraception and prevention of STD/RTI and care of young child ASHA will mobilise and facilitate them in accessing health and health related services availableat the anganwadi/sub-centre/PHC such as immunization, ante-natal checkup, post-natal checkup, supplementary nutrition and sanitation. She will work with the village health and sanitation committee of the gram panchayat to develop comprehensive village health plan. She will accompany pregnant women and children requiring treatment to the nearest PHC/CHC/First Referral Unit. ASHA will provide primary medical care for minor ailments such as diarrhoea, fever, and first aid for minor injuries.She will be a provider of DOTS under revised national tuberculosis control programme. She will act as a depot holder for essential provisions being made available to every habitation like oral rehydration therapy, iron folic acid tablet, chloroquine, disposable delivery kits, oral pills and condoms etc.Adrug kit will be provided to each ASHA. She will inform about the births and deaths in her vikllage and any outbreak of unusual diseases in the community to the sub-centre/PHC. She will promote construction of household toilets under total sanitation campaign. Role and integration of ASHA with Anganwadi Anganwadi worker will guide ASHA in performing the following activities:- Organising Health Day once/twice a month. AWWs and ANMs will act as a resource for the training of of ASHA. IEC activity through display of posters, folk dance etc.to sensitize the beneficiaries on health related issues. Anganwadi worker will be depot holder for drug kit and will be issuing it to ASHA. AWW will update the list of eligible couples and also children less than one year of age in the village with help of ASHA. ASHA will support the AWW in mobilising pregnant and lactating women and infants for nutrition supplement. Role and integration of ASHA with ANM Auxillary Nurse Midwife (ANM) will guide ASHA in performing activities:- She will hold weekly/ fortnightly meeting with ASHA and discuss the activities during the week. AWWs and ANMs will as a resource for the training of of ASHA. ANMs will inform ASHA regarding the date and time of outreach sesion. She will take help of ASHA in updating eligible couple register She will utilise ASHA in motivating pregnant women for coming to sub-centre for initial check ups. ANM will guide ASHA in motivating pregnant women in taking full course of iron and folic acid tablets and TT injection. ANM will orient ASHA on the dose schedule and side effects of oral pills. ANMs will educate ASHA on danger signs of pregnancy and labour so that she can timely identify and help beneficiary in getting further treatment. ANMs willinform ASHA on date, time and place for initial and periodic training schedule. Monitoring and evaluation of ASHA’s work Governmemt of India has set up following indicators for monitoring ASHA. 1. Process Indicators Number of ASHAs selected by due process Number of ASHAs trained % of ASHAs attending review meeting after one year 2. Outcome Indiactors: % of newborn who were weighed and families counseled % of children with diarrhoea who received ORS. % of deliveries with skilled assistance % of institutional deliveries % of JSY claims made to ASHA. % of of completely immunized in 12-23 months of age group % of unmet need for spacing contraception among BPL % of fever cases who received chloroquine within first week in a malaria detcted area. 3. Impact Indicators: IMR Child malnutritionrates Number of cases of TB /Leprosy detected as compared to previous year. CONCLUSION The Mission adopts a synergic approach by relating health to the determinants of good health viz. of nutrition, sanitation, hygiene and safe drinking water. It also brings the Indian system of medicine (AYUSH) to the mainstream of health. BIBLIOGRAPHY 1. Park K, Preventive and Social Medicine.19ed.Jabalpur.Bhanot; 2007 2.Gupta Piyush, Ghai OP,Preventive and social medicine.2nd ed Cheap Viagra viagra cheap viagra generic viagra online
AFRICA-NAMIBIA: HIV puts Malaria back in spotlight
Posted on May 18, 2008 in Generic medical release
By, IRIN PlusNews, April 25, 2007 Malaria is reclaiming the world's attention after years of playing second fiddle to HIV. Experts are now convinced that the disease plays a greater role in the AIDS pandemic than was previously thought. "The disease has for too long been considered a separate health concern to HIV... it is high time that malaria was shown the same global dedication as HIV/AIDS," Malama Muleba, executive director of the Zambia Malaria Foundation (ZMF), told IRIN/PlusNews. He acknowledged that growing scientific interest in the dangers of co-infection between the two diseases had helped put Malaria back in the spotlight. Although the two infections have formed a deadly combination in most of sub-Saharan Africa for decades, earlier studies were not able to confirm the impact of malaria on HIV and vice versa. Now, the findings of a recent study by the University of Washington's Public Health Sciences (PHS) research division show that malaria fuels the spread of HIV, while HIV has also boosted malaria-infection rates. Published in the December 2006 issue of Science, a leading research journal, the study showed that because malaria increases the viral load [amount of HIV] in an HIV-positive person, it also makes HIV more transmissible to a sexual partner. "Malaria has contributed considerably to the spread of HIV by increasing HIV transmission probability per sexual act," one of the study's co-authors, Dr Laith Abu-Raddad, confirmed in the Science article. The researchers found that, conversely, HIV also plays a role in the spread of malaria, as the weakening of the immune system by the HI virus fuels a rise in adult malaria-infection rates, and may have facilitated the expansion of malaria in Africa. The World Health Organisation (WHO) estimates that over 90 percent of the one million global malaria deaths per year occur in African countries, while the UN Children's Fund (UNICEF) says malaria is the leading cause of death in many parts of Africa, with one child dying from the disease every 30 seconds. On the occasion of Africa Malaria Day, on 25 April each year, the Roll Back Malaria Partnership, an initiative created in 1998 by WHO, UNICEF, the UN Development Programme and the World Bank, announced its target of securing a 50 percent success rate for malaria grant applications to the Global Fund to Fight AIDS, Tuberculosis and Malaria, the largest international funder of malaria programmes. "Malaria control works ... if the richest nations expand their support at the [upcoming] June G8 meeting in Germany, we can dramatically reduce the one million deaths a year from malaria," said Michel Kazatchkine, executive director of the Fund, in a statement on Africa Malaria Day. Over 90 percent of the one million global malaria deaths per year occur in Africa. In Namibia, where the HIV prevalence rate is close to 20 percent and malaria accounts for almost nine percent of all hospital deaths, the Social Marketing Association (SMA), a non-governmental organisation, also stressed the importance of ongoing support in combating the two diseases. The SMA's regional coordinator, Mauritius Ngishindwa, told IRIN/PlusNews, "It [the malaria/HIV co-infection findings] is scary, but also very important because malaria, in a sense, had been sidelined by the AIDS pandemic ... it warrants more than an isolated annual event to really address the two diseases." Echoing these sentiments, Malama Muleba, director of the Zambia Malaria Foundation, said events such as World AIDS Day and Africa Malaria Day should be ongoing initiatives, as infections and deaths by both diseases were a daily occurrence. "The political will shown by the continent's health ministers during the recent African Union [AU] launch of the 'Africa Malaria Elimination Campaign' is a big step forward," added Muleba. During the third session of the AU conference of health ministers, held in South Africa from 9 to 13 April this year, delegates committed themselves to reducing malaria morbidity and mortality by up to 75 percent by 2015 through universal access to prevention and control interventions. hh/ks/he Source: http://www.plusnews.org/Report.aspx?ReportId=71802